| NPI | 1487988747 |
|---|---|
| Doing Business As | GRAND FORKS CPAP STORE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW S. MELLOTT President 864-527-5970 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2013-09-19 |