Organization
OG TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUSSEIN ABDULLAHI IBRAHIM (OWNER)
(612) 644-0645
Entity
Organization
Contact information
Practice address
8538 CARDIFF LN, EDEN PRAIRIE, MN 55344-7661
(612) 644-0645
Mailing address
8538 CARDIFF LN, EDEN PRAIRIE, MN 55344-7661
(612) 644-0645
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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