| NPI | 1629242102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN CARLSON President 651-769-1574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 4604156) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |