Organization
SOUTHSIDE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHA BUSURI (CEO/PRESIDENT)
(507) 351-4212
Entity
Organization
Contact information
Practice address
2940 CHICAGO AVE, MINNEAPOLIS, MN 55407-1322
(507) 351-4212
Mailing address
117 COLE CT, MANKATO, MN 56001-6426
(507) 351-4212
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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