| NPI | 1831591957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY JOSEPH ROGNESS Booard Chair 651-207-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2015-01-12 |