| NPI | 1871183939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN DIANNE MOATES Business Manager 864-535-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |