Healthcare Provider Details

I. General information

NPI: 1851009476
Provider Name (Legal Business Name): RITE A WAY TRANSPORTATION SVC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15565 NORTHLAND DR W STE 104
SOUTHFIELD MI
48075-5300
US

IV. Provider business mailing address

15565 NORTHLAND DR W STE 104
SOUTHFIELD MI
48075-5300
US

V. Phone/Fax

Practice location:
  • Phone: 248-993-2144
  • Fax: 248-905-3893
Mailing address:
  • Phone: 248-993-2144
  • Fax: 248-905-3893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LENNELL CARUTHERS
Title or Position: OWNER
Credential:
Phone: 248-993-2144