| NPI | 1528439593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN L KALLIS Office Manager 218-849-0631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |