| NPI | 1306104526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDA NICOLE JOHNSON Owner 843-367-3670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-09-26 |