Healthcare Provider Details

I. General information

NPI: 1558041228
Provider Name (Legal Business Name): FIRST RESPONSE TRANSPORTATION OF SOUTHFIELD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18311 W 10 MILE RD STE 102
SOUTHFIELD MI
48075-2623
US

IV. Provider business mailing address

18311 W 10 MILE RD STE 102
SOUTHFIELD MI
48075-2623
US

V. Phone/Fax

Practice location:
  • Phone: 248-864-8283
  • Fax:
Mailing address:
  • Phone: 248-864-8283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: NARJIS ISMAIL
Title or Position: MANGEMENT
Credential:
Phone: 313-590-1344