Organization
ULTRABRU, INC.
Active
Other names
Destination Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARA HONEBRINK (PRESIDENT)
(612) 990-6639
Entity
Organization
Contact information
Practice address
11524 MISSISSIPPI DR N, CHAMPLIN, MN 55316-2507
(612) 990-6639
Mailing address
11524 MISSISSIPPI DR N, CHAMPLIN, MN 55316-2507
(612) 990-6639
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
378417
MN
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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