Organization
INNOVATIVE CARE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIQADIR S HASSAN (CEO)
(612) 470-1999
Entity
Organization
Contact information
Practice address
105 BLAKE RD N APT 206, HOPKINS, MN 55343-8266
(612) 470-1999
Mailing address
PO BOX 8594, MINNEAPOLIS, MN 55408-0594
(612) 470-1999
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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