| NPI | 1790566453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL TESFAY General Partner 317-603-2413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |