# RIDER MOBILITY INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIDER MOBILITY INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578165734
- **Legal business name:** RIDER MOBILITY INC.
- **Authorized official:** KIRSTEN WENDER ATP (PRESIDENT)
- **Authorized official phone:** (702) 272-0230

## Contact information

- **Practice address:** 5735 KEARNY VILLA RD STE 111, SAN DIEGO, CA 92123-1138
- **Practice address phone:** (858) 598-5505
- **Practice address fax:** (858) 598-5508
- **Mailing address:** 3985 W CHEYENNE AVE STE 306, NORTH LAS VEGAS, NV 89032-8907
- **Mailing address phone:** (702) 272-0230
- **Mailing address fax:** (702) 272-0289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 11/12/2020
- **Last updated:** 03/08/2024