Organization
VITAL CARE ONE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN TAYLOR (PRESIDENT)
(803) 295-6190
Entity
Organization
Contact information
Practice address
125 MEROVAN DR STE 1, NORTH AUGUSTA, SC 29860-8645
(803) 426-8052
Mailing address
125 MEROVAN DR STE 1, P.O. BOX 6099, NORTH AUGUSTA, SC 29860-8645
(803) 426-8052
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007400300A
—
GA
05
—
AB0273
—
SC
Enumeration date
06/19/2008
Last updated
05/03/2011
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