Organization
RIVER SOURCE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR OWUSU ABABIO MANAGER (MANAGER)
(952) 223-3773
Entity
Organization
Contact information
Practice address
7800 METRO PKWY, #300, BLOOMINGTON, MN 55425-1514
(952) 223-3773
(952) 955-4395
Mailing address
7800 METRO PKWY, #300, BLOOMINGTON, MN 55425-1514
(952) 223-3773
(952) 955-4395
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
382309
MN
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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