| NPI | 1679554067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARD ANDERSON Owner/Manager 507-288-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2008-09-11 |