| NPI | 1558965137 |
|---|---|
| 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) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2021-05-14 |