| NPI | 1932274164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY FOSBURY President 612-347-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-09-24 |