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NPI Code Detail

MEDICARE: BRAVE SISTERS TRANSPORTATION LLC

MEDICARE: BRAVE SISTERS TRANSPORTATION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1144045873
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRAVE SISTERS TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 9229 ROYAL MELBOURNE CIR
Second Line :
City : PEYTON
State : CO
Zip : 80831-4051
Country : US
Telephone Number : 719-877-5555
Fax Number :
Provider Business Practice Location Address
First Line : 3595 E FOUNTAIN BLVD # 100B
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-1733
Country : US
Telephone Number : 719-877-5555
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGER
Name : MERGITU ABOSE MULETA
Credential :
Telephone Number : 720-251-1453
Provider Enumeration Date : 11/18/2024
Last Update Date : 11/18/2024

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Directions to “BRAVE SISTERS TRANSPORTATION LLC ” Practice Location

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