Organization
EVENING PILOT CLUB OF SUMTER FOUNDATION, INC.
Active
Other names
EPC of Sumter Foundation, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERLE D HABBERSTAD (PROGRAM MANAGER)
(803) 469-8169
Entity
Organization
Contact information
Practice address
940 SHADOW TRAIL, SUMTER, SC 29150-2351
(803) 469-8169
(803) 469-7140
Mailing address
PMB #3, 1089-A ALICE DRIVE, SUMTER, SC 29150
(803) 469-8169
(803) 469-7140
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1158
—
SC
Enumeration date
03/23/2006
Last updated
08/07/2008
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