Provider Demographics
NPI:1750178471
Name:DETAIL SERVICES ENTERPRISE USA INC
Entity type:Organization
Organization Name:DETAIL SERVICES ENTERPRISE USA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:NDAWULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-648-8502
Mailing Address - Street 1:52 CUMMINGS PARK STE 315
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2123
Mailing Address - Country:US
Mailing Address - Phone:978-648-8502
Mailing Address - Fax:
Practice Address - Street 1:52 CUMMINGS PARK STE 315
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-2123
Practice Address - Country:US
Practice Address - Phone:978-648-8502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)