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
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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