Organization
LBKY TRANSPORTATION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOJISOLA R SIJUADE (EXECUTIVE DIRECTOR)
(612) 384-4511
Entity
Organization
Contact information
Practice address
9615 LINDEN LN N, BROOKLYN PARK, MN 55443-1890
(612) 384-4511
(763) 657-0710
Mailing address
9615 LINDEN LN N, BROOKLYN PARK, MN 55443-1890
(612) 384-4511
(763) 657-0710
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
374187
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275428100
—
MN
Enumeration date
04/07/2008
Last updated
04/07/2008
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