| 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 |