Provider Demographics
NPI:1568236362
Name:ESSENTIAL CARE TRANSPORTATION
Entity Type:Organization
Organization Name:ESSENTIAL CARE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAQUETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-343-8544
Mailing Address - Street 1:8613 GLENHAVEN ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2107
Mailing Address - Country:US
Mailing Address - Phone:619-343-8544
Mailing Address - Fax:
Practice Address - Street 1:8613 GLENHAVEN ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2107
Practice Address - Country:US
Practice Address - Phone:619-343-8544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESSENTIAL CARE TRANSPORTATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse