| NPI | 1912133422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY JOHNSON Owner 843-407-7998 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: SC 2008-370-T) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |