Organization
FREEDOM TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI L SHEA (OWNER)
(612) 380-8301
Entity
Organization
Contact information
Practice address
17242 HORIZON TRL SE, PRIOR LAKE, MN 55372-3939
(612) 830-8301
Mailing address
17242 HORIZON TRL SE, PRIOR LAKE, MN 55372-3939
(612) 830-8301
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T010234994001
—
MN
Enumeration date
02/25/2019
Last updated
03/06/2019
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