Organization
FREEDOM MEDRIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SISAY M TESHALE (OWNER)
(540) 676-6737
Entity
Organization
Contact information
Practice address
3891 IVY HILL DR, COLORADO SPRINGS, CO 80922-3082
(540) 676-6737
Mailing address
3891 IVY HILL DR, COLORADO SPRINGS, CO 80922-3082
(540) 676-6737
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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