Organization
COASTAL LIFE AMBULANCE, INC.
Active
Other names
Eastbound & Down, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CLAIR BRUSSEAU II (PRESIDENT)
(916) 871-8487
Entity
Organization
Contact information
Practice address
415 ROBERTSON BLVD STE B, WALTERBORO, SC 29488-5713
(888) 935-5525
Mailing address
PO BOX 487, WALTERBORO, SC 29488-0005
(888) 935-5525
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
12/04/2013
Last updated
05/04/2014
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