Provider Demographics
NPI:1871263962
Name:THREE BIRDS TRANSPORTATION
Entity Type:Organization
Organization Name:THREE BIRDS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JERUSHA
Authorized Official - Middle Name:F
Authorized Official - Last Name:NELSON-BRENT
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:248-873-8935
Mailing Address - Street 1:31395 7 MILE RD STE C
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-4335
Mailing Address - Country:US
Mailing Address - Phone:248-873-8935
Mailing Address - Fax:248-482-7455
Practice Address - Street 1:31395 7 MILE RD STE C
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-4335
Practice Address - Country:US
Practice Address - Phone:248-873-8935
Practice Address - Fax:248-482-7455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date: