| NPI | 1306137617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JOHN ANTOINE President 952-835-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 171WV0202X Contractor, Vehicle Modifications |
| 172A00000X Driver | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |