| NPI | 1003078791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN DURHEIM Business Office Manager 651-493-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 5775780) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-10-14 |