Charlie's Angels Transit, LLC

NPI #1740946292 in Wynne, Arkansas

Provider Information

NPI Number: 1740946292
Entity Type: Organization
Organization Name: Charlie's Angels Transit, LLC
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Nov 9, 2021
Last Updated: Nov 9, 2021

Practice Location

Address: 667 ADDISON DR
City: Wynne
State: Arkansas
ZIP Code: 72396-1602
Phone: (870) 208-7113

Authorized Official

Name: DR. KATRINA ERMAYNE HARRIS
Title: CEO
Phone: (870) 208-7113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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