| NPI | 1891575114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BESUFEKAD TADESSE MULATE Owner 317-372-9728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |