| NPI | 1104457217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN COFFEY Owner/Operator 612-600-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |