| NPI | 1124872171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEUL GEBRE HABTE Program Manager 952-855-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |