Provider Demographics
NPI:1306721147
Name:RIDEWELL
Entity type:Organization
Organization Name:RIDEWELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GRAND
Authorized Official - Middle Name:TIKU
Authorized Official - Last Name:NZYOVU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-430-8463
Mailing Address - Street 1:2 SUGAR MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-4434
Mailing Address - Country:US
Mailing Address - Phone:978-430-8463
Mailing Address - Fax:
Practice Address - Street 1:2 SUGAR MAPLE LN
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-4434
Practice Address - Country:US
Practice Address - Phone:978-430-8463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company