Organization
LILLIAS NONE EMERGENCY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY JOHN THOMPSON PARAMEDIC (OWNER OPERATOR)
(313) 587-4228
Entity
Organization
Contact information
Practice address
10070 GRAYTON ST, DETROIT, MI 48224-1940
(313) 587-4228
Mailing address
10070 GRAYTON, DETROIT, MI 48224
(313) 587-4228
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T512402429815
MI
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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