| NPI | 1912554858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEYOUM WOLDEMEDHIN WOLDEMARIAM Owner 720-882-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |