MEDICARE: HON-T HONEY DO LIST SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1841079894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HON-T HONEY DO LIST SERVICES LLC

Provider Business Mailing Address
First Line	:	110 WILDEWOOD PARK DR STE D
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-4301
Country	:	US
Telephone Number	:	803-727-2234
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 WILDEWOOD PARK DR STE D
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-4301
Country	:	US
Telephone Number	:	803-727-2234
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	TIMOTHY EUGENE PROCTOR
Credential	:
Telephone Number	:	803-727-2234

Provider Enumeration Date	:	09/27/2023
Last Update Date	:	09/27/2023

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