Provider Demographics
NPI:1215182472
Name:ACTION MOBILITY TRANSPORTATION SERVICES L.L.C.
Entity Type:Organization
Organization Name:ACTION MOBILITY TRANSPORTATION SERVICES L.L.C.
Other - Org Name:ACTION AMBULANCE SERVICES L.L.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:SENIOR MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHWEIGHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:EMT, MAVT INSTRUCTOR
Authorized Official - Phone:732-489-0195
Mailing Address - Street 1:3585 SHAFTO RD.
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07727
Mailing Address - Country:US
Mailing Address - Phone:732-489-0195
Mailing Address - Fax:732-922-8435
Practice Address - Street 1:3585 WYCKOFF RD
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07727-3930
Practice Address - Country:US
Practice Address - Phone:732-489-0195
Practice Address - Fax:732-922-8435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJA13120533416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport