| NPI | 1508686841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGGIE TIFILO TUCKER Owner 803-477-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-11-04 |