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NPI Code Detail

MEDICARE: RIDE CHOICE, LLC

MEDICARE: RIDE CHOICE, 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 : 1629751862
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIDE CHOICE, LLC
Provider Business Mailing Address
First Line : 415 ALLENHURST PL
Second Line :
City : CARY
State : NC
Zip : 27518-6403
Country : US
Telephone Number : 919-377-0190
Fax Number : 919-650-1796
Provider Business Practice Location Address
First Line : 1140 KILDAIRE FARM RD STE 107
Second Line :
City : CARY
State : NC
Zip : 27511-4596
Country : US
Telephone Number : 919-377-0190
Fax Number : 919-650-1796
Authorized Official
Title or Position : PRESIDENT
Name : CLARICE FAULKNER
Credential :
Telephone Number : 919-818-3744
Provider Enumeration Date : 08/14/2023
Last Update Date : 08/14/2023

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Directions to “RIDE CHOICE, LLC ” Practice Location

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