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Organization

SILVER LAKE TRANSPORTATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMED WASUGE (PRESIDENT)
(651) 246-0844
Entity
Organization

Contact information

Practice address
151 SILVER LAKE RD NW UNIT 200B, NEW BRIGHTON, MN 55112-8107
(651) 246-0844
Mailing address
151 SILVER LAKE RD NW UNIT 200B, NEW BRIGHTON, MN 55112-8107
(651) 246-0844

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
K961122159916
MN

Other

Enumeration date
01/26/2016
Last updated
01/26/2016
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