| NPI | 1376874347 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | MOHAMED HUSSEIN ABDI Director 612-990-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2022-07-21 |