NPI | 1457946071 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN DENISE BREY Supervisor/Delegated Official 952-993-6832 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2021-03-05 |
Last Update Date | 2024-11-07 |