| NPI | 1235104290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA L MONTGOMERY CEO 651-690-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-01-24 |