Provider Demographics
NPI:1487214144
Name:FOREWARD LOGISTICS L.L.C.
Entity Type:Organization
Organization Name:FOREWARD LOGISTICS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TRESA
Authorized Official - Middle Name:D
Authorized Official - Last Name:FORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-488-9724
Mailing Address - Street 1:25900 GREENFIELD RD STE 326
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1297
Mailing Address - Country:US
Mailing Address - Phone:877-488-9724
Mailing Address - Fax:
Practice Address - Street 1:25900 GREENFIELD RD STE 326
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1297
Practice Address - Country:US
Practice Address - Phone:877-488-9724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-15
Last Update Date:2019-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle