Provider Demographics
NPI:1447425384
Name:FAMILY FIRST TRANSPORTATION
Entity Type:Organization
Organization Name:FAMILY FIRST TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PROSPER
Authorized Official - Middle Name:
Authorized Official - Last Name:DZAMESHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-870-0504
Mailing Address - Street 1:2845 HARRIET AVE
Mailing Address - Street 2:210
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2294
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2845 HARRIET AVE
Practice Address - Street 2:210
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2294
Practice Address - Country:US
Practice Address - Phone:612-870-0504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle