Provider Demographics
NPI:1871359844
Name:LIFE SAVIOR TRANSPORTATION, LLC
Entity type:Organization
Organization Name:LIFE SAVIOR TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, AGNP-C
Authorized Official - Phone:843-992-2682
Mailing Address - Street 1:2724 W PALMETTO ST STE 5
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4909
Mailing Address - Country:US
Mailing Address - Phone:843-407-4006
Mailing Address - Fax:843-407-4390
Practice Address - Street 1:2724 W PALMETTO ST STE 5
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4909
Practice Address - Country:US
Practice Address - Phone:843-407-4006
Practice Address - Fax:843-407-4390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)