Provider Demographics
NPI:1477339752
Name:RESQ AMBULANCE SERVICE LLC
Entity Type:Organization
Organization Name:RESQ AMBULANCE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:QUENTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMYTHE
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B/CCMA
Authorized Official - Phone:734-634-9185
Mailing Address - Street 1:5295 HOWARD RD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-5210
Mailing Address - Country:US
Mailing Address - Phone:734-634-9185
Mailing Address - Fax:
Practice Address - Street 1:4230 CANTON HWY
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-4842
Practice Address - Country:US
Practice Address - Phone:734-634-9185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport