Organization
WELLFORD RESCUE 21
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA GIBBS (DIRECTOR)
(864) 439-7377
Entity
Organization
Contact information
Practice address
242 N CRAFT ST, WELLFORD, SC 29385-9629
(864) 439-7377
Mailing address
PO BOX 1245, WALTERBORO, SC 29488-0013
(843) 549-3444
(843) 549-3474
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
110
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502762
—
SC
Enumeration date
08/05/2006
Last updated
08/22/2020
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