Organization
FAST BREAK TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVANTI BLAKNEY (OWNER)
(843) 944-5113
Entity
Organization
Contact information
Practice address
1037 TIMMONSVILLE HWY, DARLINGTON, SC 29532-5076
(843) 944-5113
(843) 944-5115
Mailing address
1037 TIMMONSVILLE HWY, DARLINGTON, SC 29532-5076
(843) 944-5113
(843) 944-5115
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
362
SC
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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