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NPI Code Detail

MEDICARE: QUICK TRIPS LLC

MEDICARE: QUICK TRIPS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1347C00000XPrivate Vehicle

General Provider Information

NPI Number : 1043067994
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUICK TRIPS LLC
Provider Business Mailing Address
First Line : 3714 STANLEY TOLLIVER AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-3068
Country : US
Telephone Number : 216-392-1254
Fax Number :
Provider Business Practice Location Address
First Line : 1511 SAINT CLAIR AVE NE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2003
Country : US
Telephone Number : 216-392-1254
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LATONYA MARTIN
Credential :
Telephone Number : 216-392-1254
Provider Enumeration Date : 04/30/2024
Last Update Date : 04/30/2024

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Directions to “QUICK TRIPS LLC ” Practice Location

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