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NPI Code Detail

MEDICARE: QUALITY OF LIFE TRANSIT SERVICES LLC

MEDICARE: QUALITY OF LIFE TRANSIT SERVICES 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1740862028
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY OF LIFE TRANSIT SERVICES LLC
Provider Business Mailing Address
First Line : 9805 STATESVILLE RD STE 4174
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-7647
Country : US
Telephone Number : 980-259-9947
Fax Number :
Provider Business Practice Location Address
First Line : 9142 SWALLOW TAIL LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-7647
Country : US
Telephone Number : 980-259-9947
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. BRIDGETTE A WITHERSPOON
Credential :
Telephone Number : 704-231-7085
Provider Enumeration Date : 04/26/2021
Last Update Date : 04/26/2021

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Directions to “QUALITY OF LIFE TRANSIT SERVICES LLC ” Practice Location

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