Organization
FAITHWAY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSES LEVELLE BOONE II (CEO)
(313) 682-7186
Entity
Organization
Contact information
Practice address
621 N 5TH ST, NASHVILLE, TN 37207-5812
(313) 682-7186
(734) 981-1374
Mailing address
1195 LAWRENCE ST, DETROIT, MI 48202-1028
(313) 682-7186
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
01413L
MI
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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