Organization
CITY RIDES TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARHONDA WALLACE (ADMIN)
(484) 774-4203
Entity
Organization
Contact information
Practice address
3402 LANSING ST, PHILADELPHIA, PA 19136-3034
(484) 774-4203
Mailing address
3402 LANSING ST, PHILADELPHIA, PA 19136-3034
(484) 774-4203
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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