Organization
COALITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA A. CHERRY (PRESIDENT)
(217) 521-3457
Entity
Organization
Contact information
Practice address
2375 N LONGWOOD DR, DECATUR, IL 62526
(217) 521-3457
Mailing address
2375 N LONGWOOD DR, DECATUR, IL 62526-3070
(217) 521-3457
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/04/2018
Last updated
07/05/2018
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