Organization
WILSON PARA-TRANSPORT
Active
Other names
WILSON PARA-TRANSPORT SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA D WILSON BSN (CEO)
(843) 939-1088
Entity
Organization
Contact information
Practice address
107 E MILL ST, KINGSTREE, SC 29556-3427
(843) 939-1088
Mailing address
PO BOX 662, KINGSTREE, SC 29556-0662
(843) 939-1088
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
056
SC
3416L0300X
Land Ambulance
Primary
056
SC
343900000X
Non-emergency Medical Transport (VAN)
7978
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056
DHEC
SC
Enumeration date
06/18/2012
Last updated
06/18/2012
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