| NPI | 1114808862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASSEFA WARROW MOGES Managing Member 317-710-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-22 |