| NPI | 1104983386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTIE BARCON HAYNES Operations Manager 803-771-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: SC ORS 7689) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |