Organization
KIFAH TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED E IDLE (OWNER)
(612) 560-6669
Entity
Organization
Contact information
Practice address
2751 HENNEPIN AVE # 110, MINNEAPOLIS, MN 55408-1002
(612) 560-6669
Mailing address
2751 HENNEPIN AVE # 110, MINNEAPOLIS, MN 55408-1002
(612) 560-6669
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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