| NPI | 1932108453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONJA LEA JOHNSON C.E.O. 320-251-8261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2023-04-27 |