Healthcare Provider Details

I. General information

NPI: 1255704789
Provider Name (Legal Business Name): CHERISH LIFE TRANSPORTATION SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2015
Last Update Date: 11/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25116 INDEPENDENCE TRL
WARREN MI
48089-2087
US

IV. Provider business mailing address

25116 INDEPENDENCE TRL
WARREN MI
48089-2087
US

V. Phone/Fax

Practice location:
  • Phone: 313-285-6096
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateMI

VIII. Authorized Official

Name: MS. DEMEKA THOMAS
Title or Position: CEO
Credential:
Phone: 313-285-6096