Provider Demographics
NPI:1033700117
Name:ROYALRIDE MEDICAL TRANSPORT SERVICES
Entity type:Organization
Organization Name:ROYALRIDE MEDICAL TRANSPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IMMACULATE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-816-0087
Mailing Address - Street 1:84 HIGHLAND AVE, SUITE 312
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970
Mailing Address - Country:US
Mailing Address - Phone:781-816-0087
Mailing Address - Fax:781-300-7814
Practice Address - Street 1:84 HIGHLAND AVE, SUITE 312
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970
Practice Address - Country:US
Practice Address - Phone:781-816-0087
Practice Address - Fax:781-300-7814
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROYAL HEALTH CARE INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-01
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)