| NPI | 1801980552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS AVERBAKH President 952-882-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MN STS153668) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |