Organization
CHARIOT MEDICAL MOBILE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENICKA FOSTER (OPERATIONS MANAGER)
(574) 514-9665
Entity
Organization
Contact information
Practice address
53211 KINGLET LN, SOUTH BEND, IN 46637-5112
(574) 514-9665
Mailing address
53211 KINGLET LN, SOUTH BEND, IN 46637-5112
(574) 514-9665
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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