Provider Demographics
NPI:1831982685
Name:SOFT RIDES MEDICAL TRANSPORTER LLC
Entity type:Organization
Organization Name:SOFT RIDES MEDICAL TRANSPORTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AZZAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JABBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-229-9315
Mailing Address - Street 1:4707 LEE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71302-3238
Mailing Address - Country:US
Mailing Address - Phone:318-229-9315
Mailing Address - Fax:
Practice Address - Street 1:4707 LEE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71302-3238
Practice Address - Country:US
Practice Address - Phone:318-229-9315
Practice Address - Fax:318-229-9315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)