| NPI | 1992676332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FASIL SHEWAREGA CHERNET Manager 571-276-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |