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Organization
FARERYDER LLC
Active
Organization
FARERYDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN GRAHAM JR. (CEO)
(202) 765-8035
Entity
Organization
Contact information
Practice address
329 POSSUM CT, CAPITOL HEIGHTS, MD 20743-3509
(202) 765-8035
Mailing address
329 POSSUM CT, CAPITOL HEIGHTS, MD 20743-3509
(202) 765-8035
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347E00000X
Transportation Broker
—
NULL
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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