Organization
ETT TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDEN DAWIT SHUMBULO (ADMINISTRATOR/ SHAREHOLDER)
(571) 668-6121
Entity
Organization
Contact information
Practice address
5465 N MORGAN ST APT 501, ALEXANDRIA, VA 22312-3328
(571) 668-6121
(571) 281-4722
Mailing address
5465 N MORGAN ST APT 501, ALEXANDRIA, VA 22312-3328
(571) 668-6121
(571) 281-4722
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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