Provider Demographics
NPI:1497386833
Name:CHARIOTS AWAIT TRANSPORT LLC.
Entity Type:Organization
Organization Name:CHARIOTS AWAIT TRANSPORT LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-629-3625
Mailing Address - Street 1:11084 TORINO DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-6446
Mailing Address - Country:US
Mailing Address - Phone:470-629-3625
Mailing Address - Fax:678-884-5479
Practice Address - Street 1:11084 TORINO DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-6446
Practice Address - Country:US
Practice Address - Phone:470-629-3625
Practice Address - Fax:678-884-5479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)