| NPI | 1245786763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YACOB FISSEHATSION Owner 952-457-5897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MN w603262567309) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |