Organization
GOLF TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NURADIN ABDISHIKUR OWNER (OWNER)
(763) 318-4801
Entity
Organization
Contact information
Practice address
3550 LEXINGTON AVE N, SUITE 101B, SHOREVIEW, MN 55126-5406
(763) 318-4801
(763) 201-7774
Mailing address
3550 LEXINGTON AVE N, SUITE 101B, SHOREVIEW, MN 55126-8075
(763) 318-4801
(763) 201-7774
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
02/23/2016
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