| NPI | 1659732360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT MEGAHAN President 612-743-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN BC630902) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2024-05-03 |