| NPI | 1598034548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDAO HAWIYA BUKULA Owner Or Manager 651-354-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MN 376376) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |