| NPI | 1689056202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANSUMANA PADMORE Director 763-218-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |