Provider Demographics
NPI:1962902379
Name:GOOD WHEELS, INC.
Entity type:Organization
Organization Name:GOOD WHEELS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-768-2900
Mailing Address - Street 1:10075 BAVARIA RD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-8515
Mailing Address - Country:US
Mailing Address - Phone:239-768-2900
Mailing Address - Fax:239-768-7183
Practice Address - Street 1:10075 BAVARIA RD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-8515
Practice Address - Country:US
Practice Address - Phone:239-768-2900
Practice Address - Fax:239-768-7183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)