Provider Demographics
NPI:1508333006
Name:LIFE QUEST EMS LLC
Entity Type:Organization
Organization Name:LIFE QUEST EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAMIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RWABUDONGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-948-2909
Mailing Address - Street 1:3949 HOLCOMB BRIDGE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2208
Mailing Address - Country:US
Mailing Address - Phone:281-948-2909
Mailing Address - Fax:
Practice Address - Street 1:3949 HOLCOMB BRIDGE RD STE 102
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-2208
Practice Address - Country:US
Practice Address - Phone:281-948-2909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport