Provider Demographics
NPI:1942868146
Name:EDMACY COMMUNITY TRANSPORTATION LLC
Entity Type:Organization
Organization Name:EDMACY COMMUNITY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS-WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-494-6070
Mailing Address - Street 1:8428 MADISON PL
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19153-1527
Mailing Address - Country:US
Mailing Address - Phone:484-494-6070
Mailing Address - Fax:484-494-6091
Practice Address - Street 1:824 MAIN ST
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-2526
Practice Address - Country:US
Practice Address - Phone:484-494-6070
Practice Address - Fax:484-494-6091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)