| NPI | 1790917573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABATHA LYNN OBERT President 651-464-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2010-04-22 |