| NPI | 1073299673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FITSUM A TEFERA Officer 703-294-9069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-09-01 |