| NPI | 1164824611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE JO MARCELLAIS Owner 701-278-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |