Provider Demographics
NPI:1316798929
Name:D&E QUALITY NEMT, LLC
Entity type:Organization
Organization Name:D&E QUALITY NEMT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-857-3240
Mailing Address - Street 1:1363 HIDDEN RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-0111
Mailing Address - Country:US
Mailing Address - Phone:901-857-3240
Mailing Address - Fax:
Practice Address - Street 1:1363 HIDDEN RIDGE LN
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-0111
Practice Address - Country:US
Practice Address - Phone:901-857-3240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)