NPI | 1306573068 |
---|---|
Doing Business As | CORNER HOME MEDICAL |
Entity Type | Organization |
Authorized Contact | TAMMI LEE BAGSTAD Compliance Officer 763-540-6119 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
Enumeration Date | 2022-08-03 |
Last Update Date | 2022-08-03 |