| NPI | 1962789743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LINDSTROM Director Of Ancillary Services 651-275-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2012-01-24 |