Organization
MINNESOTA LOON TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAFTUHA HASSAN (CO-OWNER)
(763) 742-0952
Entity
Organization
Contact information
Practice address
2260 118TH AVE NE, BLAINE, MN 55449-5443
(763) 742-0952
Mailing address
2260 118TH AVE NE, BLAINE, MN 55449-5443
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
835303100038
MN
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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