| NPI | 1467275974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMESGEN FISSEHAYE Operating Manager 704-989-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |