Organization
FACE 2 FACE TRANSPORTATION NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALEB T HAILU (OPERATIONS MANAGER/ CEO)
(612) 702-3012
Entity
Organization
Contact information
Practice address
5747 W BROADWAY AVE STE 102, CRYSTAL, MN 55428-3549
(612) 702-3012
(763) 592-8295
Mailing address
5747 W BROADWAY AVE STE 102, CRYSTAL, MN 55428-3549
(612) 702-3012
(763) 592-8295
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
STS 381868
MN
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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