| NPI | 1134984826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIKU TESFAYE KEBEDE President 510-616-8942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-05-28 |