Organization
CARESOURCE TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WHITE (OWNER)
(630) 330-0073
Entity
Organization
Contact information
Practice address
210 ALCORN DR, CORINTH, MS 38834-9701
(630) 330-0073
Mailing address
2117 CRESENT LN, SOUTHAVEN, MS 38672-8321
(630) 330-0073
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
904, ALCORN
MS
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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