Organization
RIDE WITH FAITH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA CONNELLY-CASTLE BA/BS (DIRECTOR)
(260) 705-7513
Entity
Organization
Contact information
Practice address
2180 E MOWREY RD, COLUMBIA CITY, IN 46725-7611
(260) 705-7513
Mailing address
2180 E MOWREY RD, COLUMBIA CITY, IN 46725-7611
(260) 705-7513
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201037870A
MEDICAID LPI
IN
Enumeration date
11/03/2014
Last updated
11/20/2014
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