| NPI | 1548573025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHARLES REPS Managing Member 651-491-6537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |