Organization
THE LIFESTAR GROUP, INC.
Active
Other names
LifeStar Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BAUER (PRINCIPAL)
(952) 495-1120
Entity
Organization
Contact information
Practice address
2434 COMMERCE BLVD, MOUND, MN 55364-1456
(952) 495-1120
Mailing address
3135 HIGHLAND BLVD, MOUND, MN 55364-8540
(952) 495-1120
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
5774308
MN
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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