| NPI | 1568348167 |
|---|---|
| Former Legal Business Name | FORMER LEGAL BUSINESS NAME |
| Entity Type | Organization |
| Authorized Contact | FREWEINI WENEH Manager 720-448-7613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |