| NPI | 1205099066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY JOESEPH ROGNESS Executive Director 952-641-0192 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |