| NPI | 1669111050 |
|---|---|
| Former Legal Business Name | SOUTHWEST LIMOUSINE CO |
| Entity Type | Organization |
| Authorized Contact | REYAD JAMIL DERANI Owner/Operator 720-499-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |