Organization
VICTORY TRANSPORT NORTH
Active
Parent organization
VICTORY TRANSPORT NORTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
VICTORY TRANSPORT NORTH
Authorized official
CHERYL LYNN BRESCANCINI (OWNER)
(763) 413-1555
Entity
Organization
Contact information
Practice address
10907 4TH ST NE, BLAINE, MN 55434
(763) 413-1555
(763) 413-1575
Mailing address
10907 4TH ST NE, BLAINE, MN 55434
(763) 413-1555
(763) 413-1575
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
374426
MN
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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