| NPI | 1366435505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LYNN ANDERSON President 651-762-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2008-05-02 |