Organization
HOMEBOUNDTRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOUZIA AHMED GADID I CO (OWNER)
(763) 439-8892
Entity
Organization
Contact information
Practice address
1401 W RIVER RD, A, MINNEAPOLIS, MN 55411-3436
(763) 439-8892
(612) 529-5839
Mailing address
1401 W RIVER RD, A, MINNEAPOLIS, MN 55411-3436
(763) 439-8892
(612) 529-5839
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A238663000
UMPI
MN
Enumeration date
01/03/2012
Last updated
01/03/2012
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