Provider Demographics
NPI:1699092684
Name:POWER ENTERPRISE GROUP INC.
Entity type:Organization
Organization Name:POWER ENTERPRISE GROUP INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KRESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-866-8161
Mailing Address - Street 1:29488 WOODWARD AVE # 457
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-0903
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28780 JOHN R RD STE B
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-2800
Practice Address - Country:US
Practice Address - Phone:248-545-7300
Practice Address - Fax:877-595-9590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker