Provider Demographics
NPI:1184828782
Name:'QUALITY CARE MOBILE SERVICES, LLC'
Entity Type:Organization
Organization Name:'QUALITY CARE MOBILE SERVICES, LLC'
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-446-3388
Mailing Address - Street 1:2418 MARCHBANKS AVE
Mailing Address - Street 2:39 G
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-2104
Mailing Address - Country:US
Mailing Address - Phone:803-446-3388
Mailing Address - Fax:
Practice Address - Street 1:2418 MARCHBANKS AVE
Practice Address - Street 2:39 G
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2104
Practice Address - Country:US
Practice Address - Phone:803-446-3388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker