| NPI | 1063199065 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | YIDNEKACHEW FANTU Owner 512-636-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |