Organization
EAST LAKES TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIZA FARAH (MANAGER)
(612) 735-1449
Entity
Organization
Contact information
Practice address
12325 4TH CT NE, BLAINE, MN 55434-1989
(612) 735-1449
Mailing address
12325 4TH CT NE, BLAINE, MN 55434-1989
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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