Organization
ADAPTIVERIDE LLC
Active
Other names
adaptiveride llc
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MOHAMED TARAWALI ADMINISTRATOR (CEO)
(209) 489-6779
Entity
Organization
Contact information
Practice address
4664 CAYMAN CT, STOCKTON, CA 95210-5690
(209) 489-6779
Mailing address
4664 CAYMAN CT, STOCKTON, CA 95210-5690
(209) 489-6779
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
06/06/2024
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