| NPI | 1316311368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERRY BOGONKO Operations Manager 952-212-9816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |