| NPI | 1679278501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDEN DAWIT SHUMBULO Administrator/ Shareholder 571-668-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |