| NPI | 1851646582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCI ELIZABETH SMITH Chief Manager 612-749-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 6508247) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-31 |