Organization
HANI ISSE CATERING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANI MOHAMED ISSE (PRESIDENT)
(612) 227-7172
Entity
Organization
Contact information
Practice address
1900 3RD ST NE, 401, MINNEAPOLIS, MN 55418-4349
(612) 227-7172
Mailing address
1900 3RD ST NE, 401, MINNEAPOLIS, MN 55418-4349
(612) 227-7172
Taxonomy
Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary
A552620000
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A552620000
FOOD CATERING
MN
Enumeration date
03/31/2016
Last updated
03/31/2016
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