| NPI | 1760621320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARWIN SCHWANTES Administrator 320-251-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: MN 0919730001) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-27 |