Provider Demographics
NPI:1831700913
Name:SUPERIOR QUALITY PARATRANSIT LLC
Entity type:Organization
Organization Name:SUPERIOR QUALITY PARATRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LANARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-582-6571
Mailing Address - Street 1:5242 SYLVESTER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-1816
Mailing Address - Country:US
Mailing Address - Phone:267-582-6571
Mailing Address - Fax:
Practice Address - Street 1:5242 SYLVESTER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-1816
Practice Address - Country:US
Practice Address - Phone:267-582-6571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)