| NPI | 1043370091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BJORKMAN Director 952-883-7469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 8600490) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2018-07-16 |