| NPI | 1194375683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMESGEN FANTA HARKISO Manager 720-217-5968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-19 |