Organization
FAHAN TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFE ABDI ISMAEL (MANAGER)
(507) 213-1575
Entity
Organization
Contact information
Practice address
1065 24TH AVE SW, OWATONNA, MN 55060-5063
(507) 213-1575
Mailing address
616 W BRIDGE ST APT 307, OWATONNA, MN 55060-2785
(507) 213-1575
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/15/2019
Last updated
12/15/2019
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