Provider Demographics
NPI:1043456734
Name:YOUR COMMUNITY CAB, INCORPORATED
Entity Type:Organization
Organization Name:YOUR COMMUNITY CAB, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAHRMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-914-2109
Mailing Address - Street 1:5894 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-1365
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5894 JACKSON ST
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-1365
Practice Address - Country:US
Practice Address - Phone:313-914-2109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)