Organization
ADVANCE MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUSTAFA AHMEDNUR AHMED (OWNER)
(507) 696-6952
Entity
Organization
Contact information
Practice address
7600 W 27TH ST STE 213, ST LOUIS PARK, MN 55426-3163
(507) 696-6952
Mailing address
7600 W 27TH ST STE 213, ST LOUIS PARK, MN 55426-3163
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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