Organization
ZAWADI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WICLIFFE NYARIGE ONGIGE (OWNER)
(612) 310-4728
Entity
Organization
Contact information
Practice address
8911 EDGEWOOD AVE N, BROOKLYN PARK, MN 55445-3212
(612) 310-4728
Mailing address
8911 EDGEWOOD AVE N, BROOKLYN PARK, MN 55445-3212
(612) 310-4728
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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