# RIVERSIDE TRANSPORTATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952797375
- **Authorized official:** MR. JONATHAN LEE GERITY SR. (CEO/ PRESIDENT)
- **Authorized official phone:** (410) 845-8687

## Contact information

- **Practice address:** 1380 ODENTON RD, ODENTON, MD 21113-1503
- **Practice address phone:** (410) 845-8687
- **Practice address fax:** (410) 874-3108
- **Mailing address:** 1380 ODENTON RD, ODENTON, MD 21113-1503
- **Mailing address phone:** (410) 845-8687
- **Mailing address fax:** (410) 874-3108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |
| 343800000X | Secured Medical Transport (VAN) | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | 4720 | MD | — |
| 344600000X | Taxi | — | NULL | — |

## Other

- **Enumeration date:** 04/13/2015
- **Last updated:** 04/13/2015