Provider Demographics
NPI:1508289166
Name:FATIMA SERVICES INC.
Entity Type:Organization
Organization Name:FATIMA SERVICES INC.
Other - Org Name:RED STAR MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAINAB
Authorized Official - Middle Name:
Authorized Official - Last Name:FAKHRULDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-384-9045
Mailing Address - Street 1:6751 CENTRALIA ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2003
Mailing Address - Country:US
Mailing Address - Phone:313-384-9045
Mailing Address - Fax:
Practice Address - Street 1:6751 CENTRALIA ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2003
Practice Address - Country:US
Practice Address - Phone:313-384-9045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)