Healthcare Provider Details

I. General information

NPI: 1386413045
Provider Name (Legal Business Name): FRIENDLY TAXI SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2023
Last Update Date: 12/22/2023
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7160 CRYSTAL VIEW DR SE
CALEDONIA MI
49316-7716
US

IV. Provider business mailing address

7160 CRYSTAL VIEW DR SE
CALEDONIA MI
49316-7716
US

V. Phone/Fax

Practice location:
  • Phone: 616-710-9430
  • Fax:
Mailing address:
  • Phone: 616-710-9430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: LEVIS M HAKUNDWA
Title or Position: CEO
Credential:
Phone: 616-710-9430