Healthcare Provider Details

I. General information

NPI: 1386031755
Provider Name (Legal Business Name): SWCS ENTERPRISE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2015
Last Update Date: 04/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 SHIRLEY ST
NAPLES FL
34109-1860
US

IV. Provider business mailing address

207 AIRPORT PULLING RD S
NAPLES FL
34104-3531
US

V. Phone/Fax

Practice location:
  • Phone: 239-263-7855
  • Fax:
Mailing address:
  • Phone: 239-263-7855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateFL

VIII. Authorized Official

Name: DENNIS O MORGAN
Title or Position: VICE PRESIDENT
Credential:
Phone: 239-263-7855