| NPI | 1780998377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDISALAM AHMED CEO/President 612-229-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 332100000X Department of Veterans Affairs (VA) Pharmacy | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |