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Organization

BY CHOICE TRANSPORTATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KELVIN WAYNE BONNER MBA (CEO)
(313) 686-1204
Entity
Organization

Contact information

Practice address
24123 GREENFIELD RD, SUITE 204, SOUTHFIELD, MI 48075-3125
(313) 686-1204
(248) 262-7312
Mailing address
24123 GREENFIELD RD, SUITE 204, SOUTHFIELD, MI 48075-3125
(313) 686-1204
(248) 262-7312

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MI

Other

Enumeration date
03/02/2012
Last updated
03/02/2012
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