Organization
MAXIMAL CARE MOBILTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SILAS KFUSALU WAINDIM (CEO)
(651) 304-0541
Entity
Organization
Contact information
Practice address
8923 GREYSTONE AVE S, COTTAGE GROVE, MN 55016-2761
(651) 304-0541
Mailing address
8923 GRETSTONE AVE S, COTTAGE GROVE, MN 55016
(651) 304-0541
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
USDOT2493341
MN
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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