Provider Demographics
NPI:1558906156
Name:ARYV OF RHODE ISLAND, LLC
Entity Type:Organization
Organization Name:ARYV OF RHODE ISLAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KNUTESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-750-1630
Mailing Address - Street 1:4425 WOODGATE DR
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53546-9680
Mailing Address - Country:US
Mailing Address - Phone:608-750-1630
Mailing Address - Fax:608-750-1630
Practice Address - Street 1:4425 WOODGATE DR
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53546-9680
Practice Address - Country:US
Practice Address - Phone:608-750-1630
Practice Address - Fax:608-750-1630
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARYV, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle