Provider Demographics
NPI:1922379098
Name:READY EAGER DRIVER INC
Entity Type:Organization
Organization Name:READY EAGER DRIVER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODROW JR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-957-4941
Mailing Address - Street 1:12138 CENTRAL AVE STE 214
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1910
Mailing Address - Country:US
Mailing Address - Phone:202-957-4941
Mailing Address - Fax:
Practice Address - Street 1:12138 CENTRAL AVE STE 214
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-1910
Practice Address - Country:US
Practice Address - Phone:202-957-4941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-21
Last Update Date:2012-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)