| NPI | 1801478789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MCMULLEN President 612-396-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |