MEDICARE: COMFORT CHARIOTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1932691961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT CHARIOTS LLC

Provider Business Mailing Address
First Line	:	1453 N 34TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-2310
Country	:	US
Telephone Number	:	414-510-0196
Fax Number	:	414-395-7658

Provider Business Practice Location Address
First Line	:	1453 N 34TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-2310
Country	:	US
Telephone Number	:	414-510-0196
Fax Number	:	414-395-7658

Authorized Official
Title or Position	:	OWNER
Name	:	KAO XIONG
Credential	:
Telephone Number	:	414-510-0196

Provider Enumeration Date	:	06/05/2018
Last Update Date	:	06/05/2018

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