| NPI | 1225480122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAN ABDULLAHI Manager 763-898-6695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MN 886008100045) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |