| NPI | 1306074992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CARLSON CEO 651-484-7266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 332B00000X) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |