Provider Demographics
NPI:1326364928
Name:A&A ENTERPRISE OF MINNESOTA, LLC
Entity Type:Organization
Organization Name:A&A ENTERPRISE OF MINNESOTA, LLC
Other - Org Name:A&A ENTERPRISE OF MINNESOTA SPECIAL TRANSPORTATIONS SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAIDA
Authorized Official - Middle Name:H
Authorized Official - Last Name:OMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-721-1321
Mailing Address - Street 1:1500 1ST AVE NE
Mailing Address - Street 2:SUITE 111-CC
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-4170
Mailing Address - Country:US
Mailing Address - Phone:507-721-1321
Mailing Address - Fax:507-424-0055
Practice Address - Street 1:1500 1ST AVE NE
Practice Address - Street 2:SUITE 111-CC
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-4170
Practice Address - Country:US
Practice Address - Phone:507-721-1321
Practice Address - Fax:507-424-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN375461343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)