Organization
CUSTOM CARE TRANSPORTATION AND EXPEDITE SERVICE
Active
Organization
CUSTOM CARE TRANSPORTATION AND EXPEDITE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY PUGH (OWNER)
(313) 574-8889
Entity
Organization
Contact information
Practice address
18701 GRAND RIVER AVE STE 150, DETROIT, MI 48223-2214
(313) 574-8889
Mailing address
18701 GAND RIVER AVE STE 150, DETROIT, MI 48223
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
166362
MI
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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