Organization
CC RESOURCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES T MWANGI (CEO)
(888) 787-2895
Entity
Organization
Contact information
Practice address
400 W CUMMINGS PARK STE 1725, WOBURN, MA 01801-6579
(617) 797-4904
(888) 848-4075
Mailing address
400 W CUMMINGS PARK STE 1725, WOBURN, MA 01801-6579
(617) 797-4904
(888) 848-4075
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MA
347C00000X
Private Vehicle
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VC0000441732
STATE OF MASSACHUSETTS VENDOR CODE
MA
Enumeration date
11/13/2009
Last updated
11/13/2009
Update your record
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