Provider Demographics
NPI:1669124897
Name:FAITH TRANSPORTATION SERVICES, LLC
Entity type:Organization
Organization Name:FAITH TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMANUAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLOWAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:843-542-4869
Mailing Address - Street 1:134 BELLS HWY
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-2776
Mailing Address - Country:US
Mailing Address - Phone:843-542-4869
Mailing Address - Fax:843-782-3546
Practice Address - Street 1:134 BELLS HWY
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-2776
Practice Address - Country:US
Practice Address - Phone:843-542-4869
Practice Address - Fax:843-782-3546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)