| NPI | 1760727077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY NELSON President 651-203-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |