Organization
COMMUNITY PASTOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY WADE (CEO)
(803) 834-5572
Entity
Organization
Contact information
Practice address
7356 GARNERS FERRY RD, SUITE 125, COLUMBIA, SC 29209-2146
(803) 834-5572
Mailing address
7356 GARNERS FERRY RD, SUITE 125, COLUMBIA, SC 29209-2146
(803) 834-5572
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
SC
343800000X
Secured Medical Transport (VAN)
—
SC
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
SC
Other
Enumeration date
12/19/2011
Last updated
07/21/2022
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