Provider Demographics
NPI:1730681735
Name:KIDDS COMFORT TRANSPORTATION SERVICES,LLC
Entity type:Organization
Organization Name:KIDDS COMFORT TRANSPORTATION SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LENYIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NGBOGBARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-331-8484
Mailing Address - Street 1:12871 E JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48215-2754
Mailing Address - Country:US
Mailing Address - Phone:313-331-8484
Mailing Address - Fax:313-331-1864
Practice Address - Street 1:12871 E JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48215-2754
Practice Address - Country:US
Practice Address - Phone:313-331-8484
Practice Address - Fax:313-331-1864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty