| NPI | 1770829939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SPENCER BAILEY CEO 651-287-3532 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 361346) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2017-05-11 |