Organization
JUBA TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AYANLE IBRAHIM (OWNER)
(651) 347-0902
Entity
Organization
Contact information
Practice address
1411 NICOLLET AVE, MINNEAPOLIS, MN 55403-2666
(651) 347-0902
Mailing address
1411 NICOLLET AVE, MINNEAPOLIS, MN 55403-2666
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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