| NPI | 1265937213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON W JOHNSON CEO 952-456-7316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NA) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-01-17 |