Provider Demographics
NPI:1205641669
Name:MANOR RIDGE TRANSPORTATION
Entity type:Organization
Organization Name:MANOR RIDGE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLAHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SIAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-202-1241
Mailing Address - Street 1:933 48TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-6534
Mailing Address - Country:US
Mailing Address - Phone:507-319-1599
Mailing Address - Fax:
Practice Address - Street 1:933 48TH AVE NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-6534
Practice Address - Country:US
Practice Address - Phone:507-319-1599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle