| NPI | 1053133231 |
|---|---|
| Other Name | NO |
| Entity Type | Organization |
| Authorized Contact | ABU ABDRUKADIR DUBALE Manager 763-447-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-11-18 |