Provider Demographics
NPI:1407592959
Name:MORNINGSTAR LOGISTICS LLC
Entity Type:Organization
Organization Name:MORNINGSTAR LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TAJ
Authorized Official - Middle Name:URUE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-704-2440
Mailing Address - Street 1:42105 PELLSTON DR
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-2413
Mailing Address - Country:US
Mailing Address - Phone:313-704-2440
Mailing Address - Fax:
Practice Address - Street 1:42105 PELLSTON DR
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-2413
Practice Address - Country:US
Practice Address - Phone:313-704-2440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)