| NPI | 1174767206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORI ALLEN ROTH Vice President 701-255-2606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |