| NPI | 1770874760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ALICE HISE Chief Executive Officer 218-245-2446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-29 |