Organization
OWNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESKINDER WELDEGIORGIS (OWNER)
(720) 612-0815
Entity
Organization
Contact information
Practice address
5421 ODESSA ST, DENVER, CO 80249-8393
(720) 612-0815
Mailing address
14179 E KENTUCKY PL APT 102, AURORA, CO 80012-3665
(720) 612-0815
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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