| NPI | 1750119186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENDALE EBISSA TARIKU Owner/Member 571-619-3982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2025-11-26 |