Provider Demographics
NPI:1356929525
Name:QUICKCARE TRANSPORT LLC
Entity type:Organization
Organization Name:QUICKCARE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRAYLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPP
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-I
Authorized Official - Phone:678-754-7476
Mailing Address - Street 1:5509 WILD CHERRY DR SW
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-3032
Mailing Address - Country:US
Mailing Address - Phone:678-754-7476
Mailing Address - Fax:
Practice Address - Street 1:5509 WILD CHERRY DR SW
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-3032
Practice Address - Country:US
Practice Address - Phone:678-754-7476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)