| NPI | 1689722308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J JOHNSON National Project Manager 612-378-7235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |