Provider Demographics
NPI:1821410341
Name:RIVERFRONT NON-PROFIT COMMUNITY DEVELOPMENT CORPORATION
Entity Type:Organization
Organization Name:RIVERFRONT NON-PROFIT COMMUNITY DEVELOPMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-829-9659
Mailing Address - Street 1:2971 EAST LARNED
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-3905
Mailing Address - Country:US
Mailing Address - Phone:313-829-9659
Mailing Address - Fax:
Practice Address - Street 1:2971 EAST LARNED
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48207-3905
Practice Address - Country:US
Practice Address - Phone:313-829-9659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)