Organization
NOT DONE YET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA LEGGETT (PRESIDENT)
(313) 870-7339
Entity
Organization
Contact information
Practice address
15005 ROSEMONT AVE, DETROIT, MI 48223-2342
(313) 870-7339
Mailing address
15005 ROSEMONT AVE, DETROIT, MI 48223-2342
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
372629321
NON SKILLED NURSING AND TRANSPORTATION
MI
Enumeration date
12/30/2022
Last updated
12/30/2022
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