NPI 1891126652
Coastal Life Ambulance, INC.
Practice location
- Address
- 415 Robertson Blvd STE B, Walterboro, SC 29488-5713
- Phone
- (888) 935-5525
- Mailing address
- PO Box 487, Walterboro, SC 29488-0005
Authorised official
- Name
- James Clair Brusseau
- Title
- President
- Phone
- (916) 871-8487
Registered specialties
Land Ambulance
Primary
Registry record
- NPI
- 1891126652
- Entity type
- Organization
- NPI issued
- 4 Dec 2013
- Record last updated
- 4 May 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.