NPI: 1528381662 · ALEXANDRIA, VA 22304 · Private Vehicle · NPI assigned 03/03/2010
| Authorized Official | TESSEMA, MINILIK (PRESIDENT) |
| NPI Enumeration Date | 03/03/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 366 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0130 | Non-emergency transportation: wheelchair van | 366 | 30 | $10K |