NPI | 1689908287 |
---|---|
Former Legal Business Name | PRAIRIE HOME HEALTH CARE LLC |
Entity Type | Organization |
Authorized Contact | MOHAMED KODAH Manager 612-987-1120 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN N814177903613) |
Enumeration Date | 2009-09-29 |
Last Update Date | 2009-09-29 |