| NPI | 1518844745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDELL HUDSON Consultant 612-432-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |