| NPI | 1184033094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NALAYE MOHAMOUD ISMAIL Manager 320-224-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: ND ism905072) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |