Organization
PRIDE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL DUPREY (CEO)
(815) 319-0085
Entity
Organization
Contact information
Practice address
635 ROCKY MEADOW DR, GREENWOOD, IN 46143-7769
(815) 937-8807
Mailing address
635 ROCKY MEADOW DR, GREENWOOD, IN 46143-7769
(815) 937-8807
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8614PT
IL
Other
Enumeration date
09/27/2007
Last updated
04/20/2008
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