| NPI | 1487644316 |
|---|---|
| Doing Business As | LIFESTAR |
| Entity Type | Organization |
| Authorized Contact | DEDIE J. GARREN Director Of Finance 843-997-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: SC 109) |
| Additional Taxonomies | 341600000X Ambulance (Licence: NC 1616) |
| Enumeration Date | 2005-10-22 |
| Last Update Date | 2020-08-22 |