Organization
G&R RIDES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODOLFO MAYAO RAFAEL SR. N/A (OWNER)
(907) 306-3961
Entity
Organization
Contact information
Practice address
7301 MEADOW ST, APT.F, ANCHORAGE, AK 99507-2692
(907) 306-3961
(907) 339-9403
Mailing address
7673 WINCHESTER ST, ANCHORAGE, AK 99507-4814
(907) 306-3961
(907) 339-9403
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1013408
AK
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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