| NPI | 1316223787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ONYEABOR UWAGWU Director 763-412-9921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 355310) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: MN 355310) |
| 253Z00000X In Home Supportive Care | |
| 253Z00000X In Home Supportive Care (Licence: MN 355310) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: MN 355310) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: MN 355310) | |
| 335G00000X Medical Foods Supplier (Licence: MN 355310) | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-11-03 |