MEDICARE: COZY CLALM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1841424868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COZY CLALM LLC

Provider Business Mailing Address
First Line	:	6616 HILLSBORO AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55428
Country	:	US
Telephone Number	:	763-533-6125
Fax Number	:	763-533-8125

Provider Business Practice Location Address
First Line	:	6616 HILLSBORO AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55428
Country	:	US
Telephone Number	:	763-533-6125
Fax Number	:	763-533-8125

Authorized Official
Title or Position	:	OWNER
Name	:	MS. EILEEN LINDA PARKER
Credential	:
Telephone Number	:	763-533-6125

Provider Enumeration Date	:	05/05/2009
Last Update Date	:	05/05/2009

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