NPI | 1366120057 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY PAUL LORD Chief Executive Officer 701-530-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
332B00000X Durable Medical Equipment & Medical Supplies | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2023-07-11 |
Last Update Date | 2024-12-12 |