Organization
APPLE RIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAO PHA (PRESIDENT)
(651) 774-1166
Entity
Organization
Contact information
Practice address
171 LAKE ST N # 102, BIG LAKE, MN 55309-9254
(651) 774-1166
Mailing address
171 LAKE ST N # 102, BIG LAKE, MN 55309-9254
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
374889
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A304195200
MN DHS
MN
Enumeration date
03/15/2016
Last updated
03/15/2016
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