Provider Demographics
NPI:1427549914
Name:FAMILY 1ST TRANSPORT
Entity Type:Organization
Organization Name:FAMILY 1ST TRANSPORT
Other - Org Name:FAMILY 1ST TRANSPORT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:QUAWI
Authorized Official - Middle Name:A
Authorized Official - Last Name:HENDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-265-5412
Mailing Address - Street 1:382 MILLER ST
Mailing Address - Street 2:
Mailing Address - City:VAUXHALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07088-1315
Mailing Address - Country:US
Mailing Address - Phone:908-265-5412
Mailing Address - Fax:908-325-0336
Practice Address - Street 1:382 MILLER ST
Practice Address - Street 2:
Practice Address - City:VAUXHALL
Practice Address - State:NJ
Practice Address - Zip Code:07088-1315
Practice Address - Country:US
Practice Address - Phone:908-265-5412
Practice Address - Fax:908-325-0336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)