Provider Demographics
NPI:1821849431
Name:HEALTH & WELLNESS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:HEALTH & WELLNESS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUEZADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-293-3116
Mailing Address - Street 1:29 DUXBURY RD
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2160
Mailing Address - Country:US
Mailing Address - Phone:774-293-3116
Mailing Address - Fax:
Practice Address - Street 1:29 DUXBURY RD
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2160
Practice Address - Country:US
Practice Address - Phone:774-293-3116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)