| NPI | 1437507415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DI'ONTREY DA'VON GIBBONS Owner 843-468-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |