| NPI | 1811136914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARALEE L ISBELL Executive Director 218-269-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |