| NPI | 1396128302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULAHI A MOHAMED Business Manager 612-423-2852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2018-07-19 |