Provider Demographics
NPI:1770993651
Name:TAKE CARE TRANSPORTATION
Entity type:Organization
Organization Name:TAKE CARE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:WATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-402-7464
Mailing Address - Street 1:37435 CHARTER OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-2415
Mailing Address - Country:US
Mailing Address - Phone:586-477-0100
Mailing Address - Fax:313-355-6739
Practice Address - Street 1:37435 CHARTER OAKS BLVD
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48036-2415
Practice Address - Country:US
Practice Address - Phone:586-477-0100
Practice Address - Fax:313-355-6739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)