Healthcare Provider Details

I. General information

NPI: 1174017776
Provider Name (Legal Business Name): D&D RIDES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2018
Last Update Date: 06/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7412 STATE ROUTE 113 E
BERLIN HEIGHTS OH
44814-9435
US

IV. Provider business mailing address

7412 STATE ROUTE 113 E
BERLIN HEIGHTS OH
44814-9435
US

V. Phone/Fax

Practice location:
  • Phone: 216-702-4242
  • Fax: 419-588-2789
Mailing address:
  • Phone: 216-702-4242
  • Fax: 419-588-2789

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: DAVID L. KILBRIDE
Title or Position: OWNER
Credential:
Phone: 216-702-4242