| NPI | 1740799055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER D. KING President Of Operations 763-258-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2022-07-21 |