| NPI | 1891561999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DALLAGER Chief Financial Officer, Manager 952-205-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2024-08-08 |