| NPI | 1952899353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS RAYMO Owner 507-376-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2019-03-14 |