Provider Demographics
NPI:1427415066
Name:ZAWADI LLC
Entity Type:Organization
Organization Name:ZAWADI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WICLIFFE
Authorized Official - Middle Name:NYARIGE
Authorized Official - Last Name:ONGIGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-310-4728
Mailing Address - Street 1:8911 EDGEWOOD AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-3212
Mailing Address - Country:US
Mailing Address - Phone:612-310-4728
Mailing Address - Fax:
Practice Address - Street 1:8911 EDGEWOOD AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-3212
Practice Address - Country:US
Practice Address - Phone:612-310-4728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies