| NPI | 1508578238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYSAL WARSAME Director 763-332-6293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2024-07-11 |