Healthcare Provider Details

I. General information

NPI: 1053875591
Provider Name (Legal Business Name): PREZTIGE MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2019
Last Update Date: 01/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43656 VINTAGE OAKS DRIVE
STERLING HEIGHTS MI
48314
US

IV. Provider business mailing address

43656 VINTAGE OAKS DRIVE
STERLING HEIGHTS MI
48314
US

V. Phone/Fax

Practice location:
  • Phone: 586-744-8444
  • Fax: 313-264-1497
Mailing address:
  • Phone: 586-744-8444
  • Fax: 313-264-1497

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: ARLANZZIA CHANISH WILLINGHAM
Title or Position: MANAGER
Credential:
Phone: 586-744-5444