| NPI | 1457946071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN DENISE BREY Supervisor 952-993-6832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2023-01-10 |