| NPI | 1497345565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE CYRUS Owner/Operator 612-735-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |