Provider Demographics
NPI:1114657830
Name:QUICK CARE EMS LLC
Entity Type:Organization
Organization Name:QUICK CARE EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KASSIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-901-1770
Mailing Address - Street 1:5018 E PONCE DE LEON AVE
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-1236
Mailing Address - Country:US
Mailing Address - Phone:678-637-3639
Mailing Address - Fax:
Practice Address - Street 1:6200 MEMORIAL DR STE B
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-2849
Practice Address - Country:US
Practice Address - Phone:404-901-1770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport