| NPI | 1316556434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW MARTIN KING JOHNSON CEO/Founder 612-801-4542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2022-04-19 |