| NPI | 1396128633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARDOSA HASSAN MOALLIN Office Manager 651-251-6923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |