| NPI | 1881039659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN ISMAIL MOHAMED President 612-781-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: MN dialysis) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |