Organization
CARDINAL RIDE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BANE FAGAN (DIRECTOR)
(615) 454-1273
Entity
Organization
Contact information
Practice address
2495 OAK GROVE RD, LEBANON, TN 37090-1018
(615) 454-1273
Mailing address
2495 OAK GROVE RD, LEBANON, TN 37090-1018
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001732771
BUSINESS LICENSE
—
Enumeration date
12/11/2020
Last updated
01/04/2021
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