Healthcare Provider Details

I. General information

NPI: 1487214144
Provider Name (Legal Business Name): FOREWARD LOGISTICS L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2019
Last Update Date: 06/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25900 GREENFIELD RD STE 326
OAK PARK MI
48237-1297
US

IV. Provider business mailing address

25900 GREENFIELD RD STE 326
OAK PARK MI
48237-1297
US

V. Phone/Fax

Practice location:
  • Phone: 877-488-9724
  • Fax:
Mailing address:
  • Phone: 877-488-9724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. TRESA D FORE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 877-488-9724