Healthcare Provider Details

I. General information

NPI: 1972427128
Provider Name (Legal Business Name): TTOLES ENTITIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15918 W MCNICHOLS RD
DETROIT MI
48235-3544
US

IV. Provider business mailing address

PO BOX 45
INKSTER MI
48141-0045
US

V. Phone/Fax

Practice location:
  • Phone: 313-551-4029
  • Fax: 313-800-7599
Mailing address:
  • Phone: 313-551-4029
  • Fax: 313-800-7599

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: TYRUS TOLES
Title or Position: PRESIDENT
Credential:
Phone: 313-551-4029