| NPI | 1356537419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL URBANEC Director 701-456-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: ND 70506) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2008-03-28 |