Organization
JC QUALITY CARE TRANSPORT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E CARTER (OWNER/ MANAGER)
(321) 360-6519
Entity
Organization
Contact information
Practice address
410 MEREDITH WAY, TITUSVILLE, FL 32780-3286
(321) 313-5990
Mailing address
410 MEREDITH WAY, TITUSVILLE, FL 32780-3286
(321) 313-5990
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871072264
—
FL
Enumeration date
09/13/2018
Last updated
09/13/2018
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