| NPI | 1164626222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK M DICKSON General Manager 218-844-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-03-11 |