Organization
CHARLES DEVINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIIA HERBERT (OWNER/OPERATOR)
(919) 240-8656
Entity
Organization
Contact information
Practice address
1401 CROSS LINK RD, RALEIGH, NC 27610-4848
(919) 714-9286
Mailing address
1401 CROSS LINK RD, RALEIGH, NC 27610-4848
(919) 714-9276
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
08/07/2023
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