| NPI | 1538359211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCKY THAI VANG Owner 651-757-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MN BY74451) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: MN 1958427-2) |
| 347C00000X Private Vehicle (Licence: MN 1958427-2) | |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1958427-2) | |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: MN BY74451) | |
| 347C00000X Private Vehicle (Licence: MN BY74451) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2011-09-29 |