Provider Demographics
NPI:1821761057
Name:COMFORT RIDE & CARE OF NC LLC
Entity Type:Organization
Organization Name:COMFORT RIDE & CARE OF NC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MODOU
Authorized Official - Middle Name:L
Authorized Official - Last Name:KOLLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:704-421-6547
Mailing Address - Street 1:7704 CEDAR CREEK LN APT 103
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-8156
Mailing Address - Country:US
Mailing Address - Phone:704-421-6547
Mailing Address - Fax:
Practice Address - Street 1:7704 CEDAR CREEK LN APT 103
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8156
Practice Address - Country:US
Practice Address - Phone:704-421-6547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-25
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)