| NPI | 1558837526 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TEKLETSADIK BEKELE YEDEMDEM General Operation Manager 314-680-1999  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) | 
| Enumeration Date | 2018-10-17 | 
| Last Update Date | 2018-10-17 |