Provider Demographics
NPI:1851517809
Name:RIDE-AWAY HANDICAP EQUIPMENT CORPORATION
Entity Type:Organization
Organization Name:RIDE-AWAY HANDICAP EQUIPMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:LORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-237-7979
Mailing Address - Street 1:54 WENTWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-7475
Mailing Address - Country:US
Mailing Address - Phone:603-437-4444
Mailing Address - Fax:603-432-3249
Practice Address - Street 1:54 WENTWORTH AVE
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-7475
Practice Address - Country:US
Practice Address - Phone:603-437-4444
Practice Address - Fax:603-432-3249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0021413429332B00000X
NH332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment