Organization
MOONLIGHT TRANSPORTATION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMI HUSSEIN HASHI (PRESIDENT)
(612) 483-9565
Entity
Organization
Contact information
Practice address
2522 CENTRAL AVE NE, SUITE 5, MINNEAPOLIS, MN 55418-3726
(612) 483-9565
Mailing address
2522 CENTRAL AVE NE, SUITE 5, MINNEAPOLIS, MN 55418-3726
(612) 483-9565
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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