Organization · NPI-2
Affordable Community Transportation
Non-emergency Medical Transport (VAN) · Maple Grove, MN
NPI number1609000330
StatusActive
Last updated in NPPESMay 9, 2009
Details
- NPI
- 1609000330
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Community Transportation
- Organization subpart
- No
- Enumeration date
- May 9, 2009
- Last updated
- May 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | 374612 | MN | Yes |
Practice location
9799 Valley Forge Ln NMaple Grove, MN 55369-3701
Phone 763-391-1746 · Fax 763-391-9406
Mailing address
9799 Valley Forge Ln NMaple Grove, MN 55369-3701
Phone 763-391-1746 · Fax 763-391-9406
Authorized official
James S. Worlobah
Founder/President
7633911746
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