Organization
DRIVING MISS DAISY, INC.
Active
Other names
DRIVIMG MISS DAISY & HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES OMOSA OMATO (ADMINISTRATOR)
(763) 253-4400
Entity
Organization
Contact information
Practice address
1710 DOUGLAS DR N, SUITE 260D, GOLDEN VALLEY, MN 55422-4327
(763) 253-4400
(763) 253-4401
Mailing address
1710 DOUGLAS DR N, SUITE 260D, GOLDEN VALLEY, MN 55422-4327
(763) 253-4400
(763) 253-4401
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
376396
MN
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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