| NPI | 1063695286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HEDLUND Vice President 651-688-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: MN CE000101) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 2984809) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2016-03-28 |