| NPI | 1124728134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANUEL Z GHEBREMEDHIN Manager 317-332-2096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |