| NPI | 1922444801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL ABDUL FOLLAH Manager/Owner 763-515-3089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |