| NPI | 1821517053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDISALAM HASSAN AHMED Owner 612-417-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |