| NPI | 1699083774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY J. ROUSSEAU President/CEO 651-249-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |