Provider Demographics
NPI:1124468566
Name:ASSISTED CARE TRANSPORTATION INC
Entity type:Organization
Organization Name:ASSISTED CARE TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BESSIE
Authorized Official - Middle Name:FELICE
Authorized Official - Last Name:ATABONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-642-1070
Mailing Address - Street 1:18530 MACK AVE
Mailing Address - Street 2:SUITE 536
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48236-3254
Mailing Address - Country:US
Mailing Address - Phone:313-642-1070
Mailing Address - Fax:313-885-3419
Practice Address - Street 1:18530 MACK AVE
Practice Address - Street 2:SUITE 536
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48236-3254
Practice Address - Country:US
Practice Address - Phone:313-642-1070
Practice Address - Fax:313-885-3419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-30
Last Update Date:2013-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)