Healthcare Provider Details

I. General information

NPI: 1205361664
Provider Name (Legal Business Name): ENJOI TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 04/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 CLAY ST SUITE #1
DETROIT MI
48211-1911
US

IV. Provider business mailing address

1545 CLAY ST SUITE #1
DETROIT MI
48211-1911
US

V. Phone/Fax

Practice location:
  • Phone: 313-220-0101
  • Fax:
Mailing address:
  • Phone: 313-220-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. PAULETTE HAMILTON
Title or Position: CEO
Credential:
Phone: 248-703-8019