Organization
HOMERIDE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASIN HASSAN ALI (OWNER)
(952) 992-9071
Entity
Organization
Contact information
Practice address
563 38TH AVE NE, COLUMBIA HEIGHTS, MN 55421-3802
(612) 703-6589
Mailing address
2940 PILLSBURY AVE S STE 205, MINNEAPOLIS, MN 55408-2275
(952) 992-9071
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
381626
MN
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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