Organization
WOLLWALO TRANSIT LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIAS ALEMAYO WELDEMICHAEL SR. (OWNER)
(303) 931-7186
Entity
Organization
Contact information
Practice address
1626 S CHESTER CT, DENVER, CO 80247-3405
(303) 931-7186
Mailing address
1626 S CHESTER CT DENVER CO, DENVER, CO 80247
(303) 931-7186
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
062051082
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20151730858
—
CO
Enumeration date
02/12/2016
Last updated
02/12/2016
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