Provider Demographics
NPI:1871132688
Name:QUALITY TRAVELING TRANSPORTATION
Entity type:Organization
Organization Name:QUALITY TRAVELING TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SELYNCIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GAMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-755-6919
Mailing Address - Street 1:6945 MORSE AVE APT 721
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-8000
Mailing Address - Country:US
Mailing Address - Phone:904-755-6919
Mailing Address - Fax:
Practice Address - Street 1:6945 MORSE AVE APT 721
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-8000
Practice Address - Country:US
Practice Address - Phone:904-755-6919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUALITY TRAVELING TRANSPORTATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)