| NPI | 1780122861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUSTAPHA ABDULAHI OMAR Executive Director 763-447-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MN 2963896) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |