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Organization

THREE K'S CARE TRANSPORTATION,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. QUEENA KOTU SLOAN L.P.N. (L.P.N./C.E.O)
(763) 544-3148
Entity
Organization

Contact information

Practice address
7600 BASS LAKE RD, SUITE 101, NEW HOPE, MN 55428-3860
(763) 544-3148
(763) 544-3149
Mailing address
7600 BASS LAKE RD, SUITE 101, NEW HOPE, MN 55428-3860
(763) 544-3148
(763) 544-3149

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
S450711786890
FL
343900000X
Non-emergency Medical Transport (VAN)
Primary
S450711786890
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
M
MN
Enumeration date
10/16/2008
Last updated
10/16/2008
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