Healthcare Provider Details

I. General information

NPI: 1699946798
Provider Name (Legal Business Name): SNAPPY TRANPORTATION L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 03/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19394 SUNSET ST
DETROIT MI
48234-2050
US

IV. Provider business mailing address

19394 SUNSET
DETROIT MI
48234
US

V. Phone/Fax

Practice location:
  • Phone: 313-891-8043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberD0785H
License Number StateMI

VIII. Authorized Official

Name: DARIA SNAPP-JOHNSON
Title or Position: OWNER/CEO
Credential:
Phone: 313-891-8043