Organization
RIVERSIDE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN LEE GERITY SR. (CEO/ PRESIDENT)
(410) 845-8687
Entity
Organization
Contact information
Practice address
1380 ODENTON RD, ODENTON, MD 21113-1503
(410) 845-8687
(410) 874-3108
Mailing address
1380 ODENTON RD, ODENTON, MD 21113-1503
(410) 845-8687
(410) 874-3108
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
4720
MD
344600000X
Taxi
—
—
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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