Organization
CITY CHARIOTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CEDRIC DWAYNE HAMBLIN (PRESIDENT)
(586) 329-5809
Entity
Organization
Contact information
Practice address
27256 MIRROR LAKE DR, CHESTERFIELD, MI 48051-1681
(586) 329-5809
Mailing address
27256 MIRROR LAKE DR, CHESTERFIELD, MI 48051-1681
(586) 329-5809
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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