Immense Capitol LLC
NPI #1861295594 in Gaston, South Carolina
Provider Information
- NPI Number
- 1861295594
- Entity Type
- Organization
- Organization Name
- Immense Capitol LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Mar 28, 2025
- Last Updated
- Mar 28, 2025
Practice Location
- Address
- 425 BUTTERMERE DR
- City
- Gaston
- State
- South Carolina
- ZIP Code
- 29053-8517
- Phone
- (803) 260-8344
Authorized Official
- Name
- MR. CLIFFORD G NELSIN
- Title
- OWNER
- Phone
- (803) 260-8344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
| Non-emergency Medical Transport (VAN) |
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