| NPI | 1235137985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCI ELIZABETH SMITH Owner 651-480-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 6508247) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-02-14 |