Healthcare Provider Details

I. General information

NPI: 1144892530
Provider Name (Legal Business Name): WESTERN CAROLINA PUBLIC SAFETY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 07/14/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 SLOAN INDUSTRIAL PARK UNIT 93
FRANKLIN NC
28734-0087
US

IV. Provider business mailing address

10716 GEORGIA RD
OTTO NC
28763-9585
US

V. Phone/Fax

Practice location:
  • Phone: 828-332-3038
  • Fax: 828-332-3038
Mailing address:
  • Phone: 828-332-3038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JAMES ROBERT ANELLO
Title or Position: MANAGING MEMBER
Credential:
Phone: 828-332-3038