Provider Demographics
NPI:1871573881
Name:METRO-CARE LLC
Entity type:Organization
Organization Name:METRO-CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-429-5399
Mailing Address - Street 1:PO BOX 682
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:SC
Mailing Address - Zip Code:29379-0682
Mailing Address - Country:US
Mailing Address - Phone:864-429-5399
Mailing Address - Fax:864-429-5269
Practice Address - Street 1:517 THOMPSON BLVD
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379-1555
Practice Address - Country:US
Practice Address - Phone:864-429-5399
Practice Address - Fax:864-429-5269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAB0244Medicaid
SCAB0244Medicaid