Organization
ERTA ALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAILEYESUS FENTA (OWNER/MANAGER/DRIVER)
(404) 246-6483
Entity
Organization
Contact information
Practice address
1517 AINSLIE PLACE RD, INDIAN TRAIL, NC 28079-5836
(404) 246-6483
Mailing address
1517 AINSLIE PLACE RD, INDIAN TRAIL, NC 28079-5836
(404) 246-6483
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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