Provider Demographics
NPI:1376373233
Name:DESMONDS TRANSPORT SERVICE LLC
Entity type:Organization
Organization Name:DESMONDS TRANSPORT SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DESMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-982-3079
Mailing Address - Street 1:2341 SNAPDRAGON POINT
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-0001
Mailing Address - Country:US
Mailing Address - Phone:570-982-3079
Mailing Address - Fax:
Practice Address - Street 1:2341 SNAPDRAGON POINT
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-0001
Practice Address - Country:US
Practice Address - Phone:570-982-3079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)