| NPI | 1851263883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIQANI SHIDANE Director 612-404-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2026-08-19 |