Healthcare Provider Details

I. General information

NPI: 1992101653
Provider Name (Legal Business Name): GENTLE CARE RIDE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2014
Last Update Date: 11/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 AMHERST ST
NASHUA NH
03063-1226
US

IV. Provider business mailing address

379 AMHERST ST
NASHUA NH
03063-1226
US

V. Phone/Fax

Practice location:
  • Phone: 603-341-1720
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: PETER WAIMIRI
Title or Position: PARTNER
Credential:
Phone: 603-341-1720