Organization
PRAIRIE LANE RIDE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LAVOI (OWNER)
(218) 280-0230
Entity
Organization
Contact information
Practice address
13084 ISLAND LAKE RD W, LENGBY, MN 56651-2012
(701) 215-1780
Mailing address
PO BOX 14, LENGBY, MN 56651-0014
(218) 280-0230
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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