| NPI | 1992846406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARKE A MCKINNEY Owner 651-429-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 8139026) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-11-02 |