# HANI ISSE CATERING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104289719
- **Authorized official:** HANI MOHAMED ISSE (PRESIDENT)
- **Authorized official phone:** (612) 227-7172

## Contact information

- **Practice address:** 1900 3RD ST NE, 401, MINNEAPOLIS, MN 55418-4349
- **Practice address phone:** (612) 227-7172
- **Mailing address:** 1900 3RD ST NE, 401, MINNEAPOLIS, MN 55418-4349
- **Mailing address phone:** (612) 227-7172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335G00000X | Medical Foods Supplier | A552620000 | MN | Yes |

## Other

- **Enumeration date:** 03/31/2016
- **Last updated:** 03/31/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A552620000 | FOOD CATERING | MN |