Bow Tie Transportation, LLC
Non-emergency Medical Transport (VAN) in Detroit, MI. Organization (NPI-2).
NPI number1669909347
StatusActive
Last updated in NPPESMay 12, 2017
Details
- NPI
- 1669909347
- Entity type
- Organization (NPI-2)
- Legal business name
- Bow Tie Transportation, LLC
- Organization subpart
- No
- Enumeration date
- May 12, 2017
- Last updated
- May 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | MI | Yes |
Practice location
18137 Dequindre StDetroit, MI 48234-1201
Phone 313-978-5164
Mailing address
18137 Dequindre StDetroit, MI 48234-1201
Phone 313-978-5164
Authorized official
Michael Favors
Owner
3139785164
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