Organization
GREAT LAKES TRANSPORTATION 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZIH BEYDOUN (PRESIDENT)
(313) 808-3699
Entity
Organization
Contact information
Practice address
26151 LILA LN, DEARBORN HEIGHTS, MI 48127-4138
(313) 808-3699
Mailing address
26151 LILA LN, DEARBORN HEIGHTS, MI 48127-4138
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/22/2013
Last updated
06/22/2013
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