Organization
SEARS TRANSPORTAION, LLC
Active
Other names
SEARS TRANSPORTATION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACH J (MEMBER)
(248) 531-8857
Entity
Organization
Contact information
Practice address
17800 NORTHLAND PARK CT STE 104B2, SOUTHFIELD, MI 48075-4304
(248) 531-8857
Mailing address
PO BOX 99705, TROY, MI 48099-9705
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802142526
802142526
MI
Enumeration date
06/06/2019
Last updated
06/06/2019
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