Provider Demographics
NPI:1457574337
Name:K&R INVALID COACH SERVICES INC
Entity Type:Organization
Organization Name:K&R INVALID COACH SERVICES INC
Other - Org Name:EXCELLENCE INVALID COACH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANMATEE
Authorized Official - Middle Name:
Authorized Official - Last Name:DWARIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-927-3676
Mailing Address - Street 1:72 EMMANS RD
Mailing Address - Street 2:
Mailing Address - City:LEDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07852-9617
Mailing Address - Country:US
Mailing Address - Phone:973-927-3676
Mailing Address - Fax:973-927-6660
Practice Address - Street 1:72 EMMANS RD
Practice Address - Street 2:
Practice Address - City:LEDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07852-9617
Practice Address - Country:US
Practice Address - Phone:973-927-3676
Practice Address - Fax:973-927-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJEXCE00200343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6758002Medicaid