| NPI | 1285781450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB ELWOOD Owner 507-252-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-10-20 |