Organization
EYN ENTERTAINMENT
Active
Other names
LAVASH ENTERTAINMENT
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA W MULLINS (MANAGER/CEO)
(843) 687-6843
Entity
Organization
Contact information
Practice address
107 E MILL ST, KINGSTREE, SC 29556-3427
(843) 687-6843
(843) 407-7297
Mailing address
PO BOX 662, KINGSTREE, SC 29556-0662
(843) 687-6843
(843) 407-7297
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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