Provider Demographics
NPI:1437913035
Name:FAIRRYDE TRANSPORTATION SERVICE LLC
Entity Type:Organization
Organization Name:FAIRRYDE TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MASLAH
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:763-336-3700
Mailing Address - Street 1:133 W WILLIAM ST APT 103
Mailing Address - Street 2:
Mailing Address - City:ALBERT LEA
Mailing Address - State:MN
Mailing Address - Zip Code:56007-2571
Mailing Address - Country:US
Mailing Address - Phone:763-336-3700
Mailing Address - Fax:
Practice Address - Street 1:133 W WILLIAM ST APT 103
Practice Address - Street 2:
Practice Address - City:ALBERT LEA
Practice Address - State:MN
Practice Address - Zip Code:56007-2571
Practice Address - Country:US
Practice Address - Phone:763-336-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company