Provider Demographics
NPI:1093310419
Name:QUALITY CARE TRANSPORT SERVICE LTD
Entity Type:Organization
Organization Name:QUALITY CARE TRANSPORT SERVICE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-559-1221
Mailing Address - Street 1:3011 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-1635
Mailing Address - Country:US
Mailing Address - Phone:443-559-1221
Mailing Address - Fax:
Practice Address - Street 1:3011 W 11TH ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-1635
Practice Address - Country:US
Practice Address - Phone:443-559-1221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)