| NPI | 1295590362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUKTAWIT WORKU AYELE Manage/Driver 720-921-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |