Organization
RADIANT HEALTH & MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL ABDUL FOLLAH (MANAGER/OWNER)
(763) 515-3089
Entity
Organization
Contact information
Practice address
1710 DOUGLAS DR N, SUITE 204, GOLDEN VALLEY, MN 55422-4327
(763) 515-3089
Mailing address
5419 KALI AVE NE, ALBERTVILLE, MN 55301-4332
(763) 515-3089
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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