Organization
NEW VISION TRANSPORTATION L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDAO HAWIYA BUKULA (OWNER OR MANAGER)
(651) 354-1770
Entity
Organization
Contact information
Practice address
2441 YOUNGMAN AVE, APT 2C, SAINT PAUL, MN 55116-3064
(651) 354-1770
Mailing address
2441 YOUNGMAN AVE APT 2C, APT 2C, SAINT PAUL, MN 55116-3043
(651) 354-1770
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
376376
MN
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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