Organization
LIFE TIME TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARHAN S HANDULLE (MANAGER)
(612) 483-4439
Entity
Organization
Contact information
Practice address
2100 CLIFF RD E APT 217, BURNSVILLE, MN 55337-1309
(612) 483-4439
Mailing address
3818 STINSON BLVD, SUITE B, ST ANTHONY, MN 55421
(612) 483-4439
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
48856120002
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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