| NPI | 1386393916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWIT ESHETU LEGESSE Owner/Operator 480-239-4065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-04-11 |