Provider Demographics
NPI:1679931638
Name:WISDOM RIDE INCORPORATED
Entity Type:Organization
Organization Name:WISDOM RIDE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-419-1945
Mailing Address - Street 1:8517 LESLIE CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-8728
Mailing Address - Country:US
Mailing Address - Phone:804-633-6157
Mailing Address - Fax:540-710-2537
Practice Address - Street 1:8517 LESLIE CT
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-8728
Practice Address - Country:US
Practice Address - Phone:804-633-6157
Practice Address - Fax:540-710-2537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA9332341600000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No344600000XTransportation ServicesTaxi