| NPI | 1245504489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDRIS H MOHAMED Owner/CEO 612-332-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 4012349-2) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MN 4012349-2) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2013-07-22 |