Organization
ACTIVE TRANSPORTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOFOBA MUSA KANNEH MOFOBA MUSA KANNEH (TRANSPORTATION MANAGER)
(612) 876-2440
Entity
Organization
Contact information
Practice address
3815 BURQUEST LN, BROOKLYN CENTER, MN 55429-3028
(612) 876-2440
Mailing address
3815 BURQUEST LN, BROOKLYN CENTER, MN 55429-3028
(612) 876-2440
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/19/2024
Last updated
09/25/2024
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