| NPI | 1609558667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS J LARSON COO 651-603-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-21 |