Organization
BROTHERS AIRPORT EXPRESS LLC
Active
Other names
no
Organization subpart
No
Provider details
NPI number
Authorized official
ALEMSEGED YIFRU YEMANEH SR. (OWNER)
(720) 206-8501
Entity
Organization
Contact information
Practice address
1339 QUARI ST APT 222, AURORA, CO 80011-6239
(720) 206-8501
Mailing address
1339 QUARI ST APT 222, AURORA, CO 80011-6239
(720) 206-8501
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LL-01953
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81758260
—
CO
Enumeration date
10/27/2015
Last updated
10/27/2015
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