Provider Demographics
NPI:1073345294
Name:ROYALTY DELIVERY SYSTEMS LLC
Entity type:Organization
Organization Name:ROYALTY DELIVERY SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:TREMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-585-9717
Mailing Address - Street 1:36500 FORD RD STE 369
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3769
Mailing Address - Country:US
Mailing Address - Phone:313-585-9717
Mailing Address - Fax:
Practice Address - Street 1:38630 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:MI
Practice Address - Zip Code:48184-2823
Practice Address - Country:US
Practice Address - Phone:313-585-9717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)