Provider Demographics
NPI:1316572878
Name:ROLEN THE WRIGHT WAY
Entity type:Organization
Organization Name:ROLEN THE WRIGHT WAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:WALKER
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-429-4469
Mailing Address - Street 1:2321 RIVERSIDE DR STE 36
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-4210
Mailing Address - Country:US
Mailing Address - Phone:434-429-4469
Mailing Address - Fax:
Practice Address - Street 1:2321 RIVERSIDE DR STE 36
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-4210
Practice Address - Country:US
Practice Address - Phone:434-429-4469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)