Organization
QUALITY CARE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AVIAR JOY DUCKETT (ADMINISTRATOR)
(562) 450-8404
Entity
Organization
Contact information
Practice address
5875 MISSION BLVD APT 150, RIVERSIDE, CA 92509-4284
(951) 534-8404
(951) 534-8404
Mailing address
5875 MISSION BLVD APT 150, RIVERSIDE, CA 92509-4284
(951) 534-8404
(951) 534-8404
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN00915F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00915F
—
CA
Enumeration date
09/17/2013
Last updated
09/17/2013
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