Organization
PHG ULTRARYDE, LLC
Active
Organization
PHG ULTRARYDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA HASKIN (OWNER)
(317) 747-1010
Entity
Organization
Contact information
Practice address
9033 NEPTUNE DR, INDIANAPOLIS, IN 46229-1170
(317) 747-1010
Mailing address
973 N SHADELAND AVE # 101, INDIANAPOLIS, IN 46219-4809
(317) 747-1010
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IN
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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