Organization
HUMAN CARE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDISALAM HASSAN AHMED (OWNER)
(612) 417-2373
Entity
Organization
Contact information
Practice address
2910 PILLSBURY AVE S APT 434, MINNEAPOLIS, MN 55408-5504
(612) 417-2373
Mailing address
3255 COACHMAN RD APT 239, EAGAN, MN 55121-2821
(612) 417-2373
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326579608
TRANSPORTATION
MN
Enumeration date
09/19/2017
Last updated
09/19/2017
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