| NPI | 1487167300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY TIMMERMAN Transportation Coordinator 218-410-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MN 382676) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-05-19 |