| NPI | 1871812032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MACKEY Owner 952-807-5389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 3756181-3) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |