Provider Demographics
NPI:1205431970
Name:DAQUEST CARE TRANSPORT LTD CO.
Entity type:Organization
Organization Name:DAQUEST CARE TRANSPORT LTD CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DACRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:681-235-2727
Mailing Address - Street 1:3006 MOUNT VERNON RD STE 1000
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-8865
Mailing Address - Country:US
Mailing Address - Phone:681-235-2727
Mailing Address - Fax:681-235-2729
Practice Address - Street 1:3006 MOUNT VERNON RD STE 1000
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-8865
Practice Address - Country:US
Practice Address - Phone:681-235-2727
Practice Address - Fax:681-235-2729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)