| NPI | 1538635248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELLE CHISHOLM Owner 612-296-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2020-06-16 |