| NPI | 1043589948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMMIE JENNINGS Service Provider 843-783-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: SC APPLIED FOR) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |