Provider Demographics
NPI:1093325185
Name:FRIENDLY RIDE TRANSPORTATION INC
Entity Type:Organization
Organization Name:FRIENDLY RIDE TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-302-4061
Mailing Address - Street 1:17 MCKINLEY ST
Mailing Address - Street 2:
Mailing Address - City:FEEDING HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:01030-1931
Mailing Address - Country:US
Mailing Address - Phone:781-864-7646
Mailing Address - Fax:
Practice Address - Street 1:17 MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:FEEDING HILLS
Practice Address - State:MA
Practice Address - Zip Code:01030-1931
Practice Address - Country:US
Practice Address - Phone:781-864-7646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS82927805OtherDRIVERS LICENSE NUMBER