| NPI | 1477644813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE C ERICKSEN Director 651-895-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN NOT REQUIRED) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |