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Organization

STEP BY STEPS COMMUNITY LYNX, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIBA BROGDON (CFO)
(704) 701-0836
Entity
Organization

Contact information

Practice address
730C BROAD ST, SUMTER, SC 29150-3356
(704) 701-0836
Mailing address
730C BROAD ST, SUMTER, SC 29150-3356
(704) 701-0836

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
000000000
SC
343900000X
Non-emergency Medical Transport (VAN)
000000001
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000000000
SC
Enumeration date
11/04/2015
Last updated
11/04/2015
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