Organization
IBF TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLITHA JAMESETTA FOFANA NP (MANAGER)
(763) 218-9501
Entity
Organization
Contact information
Practice address
10911 RHODE ISLAND CIR N, CHAMPLIN, MN 55316-3256
(763) 232-6365
Mailing address
10911 RHODE ISLAND CIR N, CHAMPLIN, MN 55316-3256
(763) 232-6365
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
03/07/2025
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