| NPI | 1366523482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J JOHNSON Reg. Operations Manager 612-378-7235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |