| NPI | 1073561825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE SHINGLETON Secretary 612-632-2592 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2025-11-20 |