Provider Demographics
NPI:1215786033
Name:MEDI MOOVERS LLC
Entity type:Organization
Organization Name:MEDI MOOVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-450-0074
Mailing Address - Street 1:5293 S 172ND AVE
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:MI
Mailing Address - Zip Code:49421-9558
Mailing Address - Country:US
Mailing Address - Phone:231-903-7368
Mailing Address - Fax:
Practice Address - Street 1:5293 S 172ND AVE
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:MI
Practice Address - Zip Code:49421-9558
Practice Address - Country:US
Practice Address - Phone:231-903-7368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)