Healthcare Provider Details

I. General information

NPI: 1972138402
Provider Name (Legal Business Name): DDS TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2020
Last Update Date: 04/15/2020
Certification Date: 04/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 ANDERSON RD S STE 326
ROCK HILL SC
29730-3398
US

IV. Provider business mailing address

454 ANDERSON RD S STE 326
ROCK HILL SC
29730-3398
US

V. Phone/Fax

Practice location:
  • Phone: 716-604-4687
  • Fax:
Mailing address:
  • Phone: 716-604-4687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DARLENE STRICKLAND
Title or Position: OWNER
Credential:
Phone: 716-604-4687