| NPI | 1760321152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONG VANG CEO 763-200-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-03-28 |
| Last Update Date | 2026-03-28 |