| NPI | 1104519321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESFAHUN WOLDEMARIAM Owner 720-236-4416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-05 |