Provider Demographics
NPI:1811448608
Name:A WONDERFUL WAY TO RIDE,LLC
Entity type:Organization
Organization Name:A WONDERFUL WAY TO RIDE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-429-7793
Mailing Address - Street 1:225 SEDGEFIELD LN
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-6105
Mailing Address - Country:US
Mailing Address - Phone:434-429-7793
Mailing Address - Fax:
Practice Address - Street 1:225 SEDGEFIELD LN
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-6105
Practice Address - Country:US
Practice Address - Phone:434-429-7793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA498343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)