Provider Demographics
NPI:1316340185
Name:COMPASSIONATE HANDS AMBULANCE TRANSPORT, LLC
Entity type:Organization
Organization Name:COMPASSIONATE HANDS AMBULANCE TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:CUTCHIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:843-862-1727
Mailing Address - Street 1:167 COXE RD E
Mailing Address - Street 2:
Mailing Address - City:BLENHEIM
Mailing Address - State:SC
Mailing Address - Zip Code:29516-7927
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:518 CHERAW ST
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-2842
Practice Address - Country:US
Practice Address - Phone:843-862-1727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance