| NPI | 1972024883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILAL JAVED Administrator 763-244-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-21 |