| NPI | 1851467427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EUGENE CLARK Owner 507-354-8531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2021-04-08 |