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General NPI Number Information
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NPI Number | 1962186270
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Entity Type | Organization
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Legal Business Name | JOBS RIDES CORPORATION
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 950 28TH STREET SE BUILDING B-104
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City | GRAND RAPIDS
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State | MI
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Zip | 49508-1327
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Country | US
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Telephone | 616-724-5055
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 592
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City | HUDSONVILLE
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State | MI
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Zip | 49426-0592
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRUCE RITSEMA
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Credential |
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Telephone | 616-724-5505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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