| NPI | 1437244167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLAD HENNING Owner/Operator 507-376-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IA 000694) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |