Boomer Ride is a Private Vehicle based in Hastings, MN. Boomer Ride practices in Hastings, MN. The NPI Number for Boomer Ride is 1194121210 and holds a License No. C893012006120 (Minnesota).
The current practice location address for Boomer Ride is 724 5Th St W Apt B, Hastings, MN and can be reached out via phone at 651-263-0189.
Location: 724 5Th St W Apt B, Hastings, MN, 55033-1745
Provider Profile Details
NPI Number
1194121210
Provider Name
Boomer Ride
Credential
Provider Entity Type
Organization
Address
724 5Th St W Apt B, Hastings, MN, 55033-1745
Phone Number
651-263-0189
Fax Number
Provider Enumeration Date
11/17/2014
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
724 5Th St W Apt B
City
State
Zip
55033-1745
Phone Number
651-263-0189
Fax Number
Provider Business Mailing Address Details
Address
724 5Th St W Apt B
City
State
Zip
55033-1745
Phone Number
651-263-0189
Fax Number
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
C893012006120 (Minnesota)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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