| NPI | 1689901761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABUKAR ABDULLE WAGED Authorized Official 612-729-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2023-04-24 |