| NPI | 1851396436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD BRYAN WILLIAMS President/CEO 651-771-1193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2008-05-12 |