Organization
TEDDY LIMOUSINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TTEWODROS KOKEB ENGDAYEHU (OWNER)
(303) 875-7459
Entity
Organization
Contact information
Practice address
8680 E ALAMEDA AVE APT 1113, DENVER, CO 80247-1108
(303) 875-7459
Mailing address
8680 E ALAMEDA AVE APT 1113, DENVER, CO 80247-1108
(303) 875-7459
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B-10055
CO
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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