Organization
IMMENSE CAPITOL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD G NELSIN (OWNER)
(803) 260-8344
Entity
Organization
Contact information
Practice address
425 BUTTERMERE DR, GASTON, SC 29053-8517
(803) 260-8344
Mailing address
425 BUTTERMERE DR, GASTON, SC 29053-8517
(803) 260-8344
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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