Provider Demographics
NPI:1104531318
Name:RIDGE TRANSPORTATION INC.
Entity type:Organization
Organization Name:RIDGE TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LENEA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:248-469-6093
Mailing Address - Street 1:3549 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48329-2282
Mailing Address - Country:US
Mailing Address - Phone:248-469-6093
Mailing Address - Fax:248-461-6256
Practice Address - Street 1:3549 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48329-2282
Practice Address - Country:US
Practice Address - Phone:248-469-6093
Practice Address - Fax:248-461-6256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)