Erta Ale LLC
Non-emergency Medical Transport (VAN) in Indian Trail, NC. Organization (NPI-2).
NPI number1306700638
StatusActive
Last updated in NPPESDec 11, 2025
Details
- NPI
- 1306700638
- Entity type
- Organization (NPI-2)
- Legal business name
- Erta Ale LLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2025
- Certification date
- Dec 11, 2025
- Last updated
- Dec 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
| 347C00000X | Private Vehicle | – | – |
Practice location
1517 Ainslie Place RdIndian Trail, NC 28079-5836
Phone 404-246-6483
Mailing address
1517 Ainslie Place RdIndian Trail, NC 28079-5836
Phone 404-246-6483
Authorized official
Haileyesus Fenta
Owner/Manager/Driver
4042466483
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All 7 Non-emergency Medical Transport (VAN) providers in Indian Trail · All 529 providers in Indian Trail
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