# TEGA CAY RESCUE SQUAD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164467254
- **Authorized official:** MR. NORMAN W BALLMER (PRESIDENT)
- **Authorized official phone:** (803) 548-2751

## Contact information

- **Practice address:** 5000 TEGA CAY DR, TEGA CAY, SC 29708-9363
- **Practice address phone:** (803) 548-2751
- **Mailing address:** 5000 TEGA CAY DR, TEGA CAY, SC 29708-9363
- **Mailing address phone:** (803) 548-2751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 075 | SC | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 04/18/2008