| NPI | 1215380514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHISEMA ASFAW KERAGA Manager/Owner 602-284-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-11-20 |