| NPI | 1497118228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAILA MOHAMOUD OMAR Manager 651-528-4829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MN 343900000x) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |