| NPI | 1831786581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENDALKACHEW MENGSTE AYELE Member 720-550-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |