Organization
RC CHARLEY
Active
Other names
Faith Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
RC CHARLEY (CEO)
(505) 488-3942
Entity
Organization
Contact information
Practice address
57C PILLOW CREST RD, PREWITT, NM 87045
(505) 488-3942
Mailing address
PO BOX 671, PREWITT, NM 87045-0671
(505) 488-3942
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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