| NPI | 1053645929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR LITTLEJOHN Owner 651-367-4274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |