Provider Demographics
NPI:1396094298
Name:RESOURCE TRANSPORTATION GROUP, LLC
Entity type:Organization
Organization Name:RESOURCE TRANSPORTATION GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSCHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-673-6669
Mailing Address - Street 1:12850 FARMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-1603
Mailing Address - Country:US
Mailing Address - Phone:734-673-6669
Mailing Address - Fax:734-422-0018
Practice Address - Street 1:12850 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1603
Practice Address - Country:US
Practice Address - Phone:734-673-6669
Practice Address - Fax:734-422-0018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MID70179343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2=========Medicaid