Provider Demographics
NPI:1962854778
Name:TOTAL TRANSPORTATION 1, INC
Entity Type:Organization
Organization Name:TOTAL TRANSPORTATION 1, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHIRINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GHANDOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-469-4673
Mailing Address - Street 1:24130 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3020
Mailing Address - Country:US
Mailing Address - Phone:248-469-4673
Mailing Address - Fax:248-282-8709
Practice Address - Street 1:24130 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-3020
Practice Address - Country:US
Practice Address - Phone:248-469-4673
Practice Address - Fax:248-282-8709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)