Healthcare Provider Details

I. General information

NPI: 1194509927
Provider Name (Legal Business Name): CDI NON EMERGENCY TRANSPORTATION LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 A ST
HAYWARD CA
94541-2949
US

IV. Provider business mailing address

1315 A ST
HAYWARD CA
94541-2949
US

V. Phone/Fax

Practice location:
  • Phone: 701-200-4199
  • Fax:
Mailing address:
  • Phone: 701-200-4199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: TEMESGEN ERABO SINAMO
Title or Position: FOUNDER AND CEO
Credential:
Phone: 701-200-4199