Organization
LIBERTY RIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLO RITA TERSIGNI (MANAGING MEMBER)
(978) 514-3930
Entity
Organization
Contact information
Practice address
65 LAKE AVE, APT. 831, WORCESTER, MA 01604-1199
(978) 514-3930
Mailing address
529 MAIN ST # 1M5, CHARLESTOWN, MA 02129-1125
(978) 514-3930
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
S86649214
MA
Other
Enumeration date
03/19/2014
Last updated
06/04/2014
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