| NPI | 1194557462 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | EDEN HAGOS Member 619-309-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |