| NPI | 1487277877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAM BERNSTEIN Cno 701-428-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-07-27 |