| NPI | 1003870957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL PITTMAN Vice President 651-645-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-15 |
| Last Update Date | 2010-05-28 |