| NPI | 1255111795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREEBORN IFFIE IFFIE EMADAMERHO Md 612-242-6279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |