| NPI | 1942684832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA IMANOVA Owner/Manager 303-399-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: CO 585IQZ) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: CO 785IQT) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |