| NPI | 1508605833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERUSALEM DESALEGN DERBEW Owner/Manager 214-791-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-24 |