| NPI | 1043769250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG BORGE CEO 612-210-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |