| NPI | 1194694141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALKIDAN SHIMELIS DESTA Owner/Administrator 804-912-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |