| NPI | 1689906729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN SWEENEY Manager 218-727-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-01-30 |
| Last Update Date | 2010-01-30 |