Organization · NPI-2

Kingdom Concierge Services LLC

Non-emergency Medical Transport (VAN) · Maple Grove, MN

NPI number1104655166
StatusActive
Last updated in NPPESJul 29, 2024

Details

NPI
1104655166
Entity type
Organization (NPI-2)
Legal business name
Kingdom Concierge Services LLC
Organization subpart
No
Enumeration date
Jul 29, 2024
Certification date
Jul 29, 2024
Last updated
Jul 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes

Practice location

16490 Territorial Trl
Maple Grove, MN 55369-2223

Phone 612-396-7755

Mailing address

16490 Territorial Trl
Maple Grove, MN 55369-2223

Phone 612-396-7755

Authorized official

Adeniyi Adekunle
Co-Owner
6123967755

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