Organization
1 CARE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHELLE BLACKMON (SECRETARY)
(773) 418-3572
Entity
Organization
Contact information
Practice address
4542 S ELLIS AVE, CHICAGO, IL 60653-3644
(773) 418-3572
Mailing address
4542 S ELLIS AVE, CHICAGO, IL 60653-3644
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
05/26/2019
Last updated
05/26/2019
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