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NPI Code Detail

MEDICARE: SOFT RIDES MEDICAL TRANSPORTER LLC

MEDICARE: SOFT RIDES MEDICAL TRANSPORTER 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 : 1306788195
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOFT RIDES MEDICAL TRANSPORTER LLC
Provider Business Mailing Address
First Line : 4707 LEE ST
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71302-3238
Country : US
Telephone Number : 318-229-9315
Fax Number :
Provider Business Practice Location Address
First Line : 4707 LEE ST
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71302-3238
Country : US
Telephone Number : 318-229-9315
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AZZAM JABBAR
Credential :
Telephone Number : 318-229-9315
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “SOFT RIDES MEDICAL TRANSPORTER LLC ” Practice Location

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