Organization
PALMETTO TRANSPORT SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA BRANNON BLAKE (OWNER)
(803) 374-4677
Entity
Organization
Contact information
Practice address
61 OSPREY CIR, OKATIE, SC 29909-4228
(803) 374-4677
(843) 279-3158
Mailing address
61 OSPREY CIR, OKATIE, SC 29909-4228
(803) 374-4677
(843) 279-3158
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21029024100644
—
SC
Enumeration date
02/09/2021
Last updated
02/09/2021
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