Organization
RIDE CARE
Active
Other names
Ride Care
Organization subpart
No
Provider details
NPI number
Authorized official
OLLIS THOMAS (MANAGER)
(404) 882-8822
Entity
Organization
Contact information
Practice address
2002 SUMMIT BLVD, BROOKHAVEN, GA 30319-1560
(404) 882-8822
Mailing address
115 PARK MEADOWS DRIVE, LAWRENCEVILLE, GA 30044
(404) 882-8822
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
GA
Enumeration date
05/12/2020
Last updated
05/12/2020
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