| NPI | 1558875211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVORIS FRAZIER Owner 803-860-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: SC 100298289) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-08-22 |