| NPI | 1225503907 |
|---|---|
| Former Legal Business Name | AVILA MEDICAL TRANSPORT LLC |
| Entity Type | Organization |
| Authorized Contact | RAFAEL ARIAS Manager 970-230-7286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |