| NPI | 1770998494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAKAB ABDULKADIR HAJI HUSSEIN President 651-757-0974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2020-05-22 |