| NPI | 1932354701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY WADE WHITNEY President 763-519-0634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2014-10-14 |