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Organization

SUPREME LIMO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YOSEF SEYOUM (OWNER/MANAGER)
(303) 669-6795
Entity
Organization

Contact information

Practice address
1710 BRIARGATE BLVD STE 456, COLORADO SPRINGS, CO 80920-3462
(303) 669-6795
Mailing address
1560 S FAIRPLAY WAY, AURORA, CO 80012-5725
(303) 669-6795

Taxonomy

Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
343900000X
Non-emergency Medical Transport (VAN)
Primary
347E00000X
Transportation Broker

Other

Enumeration date
05/22/2023
Last updated
05/25/2023
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