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Organization

CHARISMA TRANSPORTATION SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL THOMPSON REV. (SECRETARY)
(313) 850-8534
Entity
Organization

Contact information

Practice address
18322 NADOL DR, SOUTHFIELD, MI 48075-5830
(248) 552-0389
Mailing address
18322 NADOL DR, SOUTHFIELD, MI 48075-5830
(248) 552-0389

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L-1811 CERTIFICATE
MI

Other

Enumeration date
12/11/2007
Last updated
12/11/2007
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