Assisted Living Store, Incorporated
NPI #1629242102 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1629242102
- Entity Type
- Organization
- Organization Name
- Assisted Living Store, Incorporated
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 16, 2008
- Last Updated
- Apr 16, 2008
Practice Location
- Address
- 7687 HYDE AVE S
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-1978
- Phone
- (651) 769-1574
Authorized Official
- Name
- MRS. KIMBERLY ANN CARLSON
- Title
- PRESIDENT
- Phone
- (651) 769-1574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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