Organization
SUNSHINE RIDE LLC
Active
Other names
SUNSHINE RIDE
Organization subpart
No
Provider details
NPI number
Authorized official
TADELE MEKONNEN (OWNER/ MANAGER MEMBER)
(720) 862-4845
Entity
Organization
Contact information
Practice address
4423 STOCKDALE LN, FORNEY, TX 75126-3386
(720) 862-4845
Mailing address
4423 STOCKDALE LN, FORNEY, TX 75126-3386
(720) 862-4845
Taxonomy
Speciality
Code
Description
License number
State
261QM1103X
Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center
—
—
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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