| NPI | 1164775664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL DOUGLAS RAWLINGS CEO 612-895-7815 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2025-08-19 |