Organization
ANY OCCASION TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRON BENTON (OWNER)
(313) 254-2364
Entity
Organization
Contact information
Practice address
7412 MEMORIAL ST, DETROIT, MI 48228-3521
(313) 254-2364
Mailing address
7412 MEMORIAL ST, DETROIT, MI 48228-3521
(313) 254-2364
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B535135668237
MI
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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