| NPI | 1477934388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNADIY GNATYUK Owner 720-495-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: CO B-9937) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2020-04-08 |