Organization
LEVEL ONE TRANSPORT
Active
Organization
LEVEL ONE TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA C TUCKER (CHIEF EXECUTIVE OFFICER)
(313) 421-2624
Entity
Organization
Contact information
Practice address
407 E FORT ST STE 103, DETROIT, MI 48226-2959
(313) 421-2624
Mailing address
407 E FORT ST STE 103, DETROIT, MI 48226-2959
(313) 421-2624
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MI
347C00000X
Private Vehicle
—
MI
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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