Organization
CARING MEDICAL DISTRIBUTORS INC
Active
Other names
PRAIRIE HOME HEALTH CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED KODAH (MANAGER)
(612) 987-1120
Entity
Organization
Contact information
Practice address
2601 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407-1137
(612) 987-1120
(612) 872-1550
Mailing address
2601 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407-1137
(612) 987-1120
(612) 872-1550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N814177903613
MN
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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