| NPI | 1962898569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY A BURGESS Managing Agent 803-406-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |