Organization
RIDESOURCE HOLDINGS
Active
Parent organization
DISCOUNT CAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
DISCOUNT CAB
Authorized official
SCOTT SYLVAN (CONTROLLER)
(602) 200-5500
Entity
Organization
Contact information
Practice address
4600 W CAMELBACK RD, GLENDALE, AZ 85301-7609
(602) 200-5500
(602) 200-5505
Mailing address
4600 W CAMELBACK RD, GLENDALE, AZ 85301-7609
(602) 200-5500
(602) 200-5505
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376695163
—
AZ
Enumeration date
02/03/2012
Last updated
02/03/2012
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