Provider Demographics
NPI:1972954998
Name:FACE 2 FACE TRANSPORTATION NETWORK LLC
Entity Type:Organization
Organization Name:FACE 2 FACE TRANSPORTATION NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:KALEB
Authorized Official - Middle Name:T
Authorized Official - Last Name:HAILU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-702-3012
Mailing Address - Street 1:5747 W BROADWAY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55428-3549
Mailing Address - Country:US
Mailing Address - Phone:612-702-3012
Mailing Address - Fax:763-592-8295
Practice Address - Street 1:5747 W BROADWAY AVE STE 102
Practice Address - Street 2:
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55428-3549
Practice Address - Country:US
Practice Address - Phone:612-702-3012
Practice Address - Fax:763-592-8295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNSTS 381868343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)