Organization
LAKELINE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIQADAR FARAH (OWNER)
(612) 702-9259
Entity
Organization
Contact information
Practice address
1416 SHORELINE DR, EAGAN, MN 55121
(612) 702-9259
Mailing address
1416 SHORELINE DR, EAGAN, MN 55121
(612) 702-9259
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
870283400039
MN
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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