Organization
LRHA TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YACOB FISSEHATSION (OWNER)
(952) 457-5897
Entity
Organization
Contact information
Practice address
1923 COVINGTON LN, EAGAN, MN 55122-2684
(952) 457-5897
Mailing address
1923 COVINGTON LN, EAGAN, MN 55122-2684
(952) 457-5897
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
W603262567309
MN
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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