Provider Demographics
NPI:1144045873
Name:BRAVE SISTERS TRANSPORTATION LLC
Entity type:Organization
Organization Name:BRAVE SISTERS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MERGITU
Authorized Official - Middle Name:ABOSE
Authorized Official - Last Name:MULETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-251-1453
Mailing Address - Street 1:9229 ROYAL MELBOURNE CIR
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-4051
Mailing Address - Country:US
Mailing Address - Phone:719-877-5555
Mailing Address - Fax:
Practice Address - Street 1:3595 E FOUNTAIN BLVD # 100B
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-1733
Practice Address - Country:US
Practice Address - Phone:719-877-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)