Healthcare Provider Details

I. General information

NPI: 1932928017
Provider Name (Legal Business Name): ROYAL MOTION TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2024
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 COUNTY HIGHWAY 10 STE 116
SPRING LAKE PARK MN
55432-1264
US

IV. Provider business mailing address

950 COUNTY HIGHWAY 10 STE 116
SPRING LAKE PARK MN
55432-1264
US

V. Phone/Fax

Practice location:
  • Phone: 612-707-5716
  • Fax: 763-757-1187
Mailing address:
  • Phone: 612-707-5716
  • Fax: 763-757-1187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MRS. MATILDA POKUAAH AGYAPONG
Title or Position: CEO
Credential: RNBSN, LALD
Phone: 612-707-5716