MEDICARE: BEVAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	MDOT L1082	MI

General Provider Information

NPI Number	:	1548484371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEVAL INC

Provider Business Mailing Address
First Line	:	5929 GLEN EAGLES DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2209
Country	:	US
Telephone Number	:	248-539-1101
Fax Number	:	248-539-1108

Provider Business Practice Location Address
First Line	:	29576 ORCHARD LAKE RD
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-2158
Country	:	US
Telephone Number	:	248-539-1101
Fax Number	:	248-539-1108

Authorized Official
Title or Position	:	OFFICER
Name	:	MRS. BESI FUBE NDAKWAH
Credential	:
Telephone Number	:	248-539-1101

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	08/22/2020

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