Organization
FIVE NINETEEN LLC
Active
Other names
Ride Taxi
Organization subpart
No
Provider details
NPI number
Authorized official
ALEGNTA HAILE YIMAM (OWNER)
(719) 213-1186
Entity
Organization
Contact information
Practice address
40801 U.S. 6, UNIT 211, AVON, CO 81620
(970) 949-1111
Mailing address
PO BOX 9729, AVON, CO 81620-9701
(719) 213-1186
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
10/27/2022
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