| NPI | 1750084067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPHIE TYRONE SMITH SR Director 803-661-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-27 |