Provider Demographics
NPI:1619748910
Name:QUALITY CARE LOGISTICS LLC
Entity Type:Organization
Organization Name:QUALITY CARE LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYERRA
Authorized Official - Middle Name:N
Authorized Official - Last Name:RIPPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-999-8099
Mailing Address - Street 1:3716 SAINT JAMES AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-2545
Mailing Address - Country:US
Mailing Address - Phone:937-999-8099
Mailing Address - Fax:
Practice Address - Street 1:3716 SAINT JAMES AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-2545
Practice Address - Country:US
Practice Address - Phone:937-999-8099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle