Organization
GENERATIONS TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND BREWINGTON CLARK (OWNER/ OPERATOR)
(803) 473-6372
Entity
Organization
Contact information
Practice address
113 FALLEN OAK DR, COLUMBIA, SC 29229-8927
(803) 473-6372
Mailing address
113 FALLEN OAK DR, COLUMBIA, SC 29229-8927
(803) 473-6372
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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