Organization
MACKMILLER DESIGN BUILD
Active
Other names
Home for Good
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A. MACKMILLER CAPS (CO-OWNER)
(952) 949-8600
Entity
Organization
Contact information
Practice address
15694 VILLAGE WOODS DR, EDEN PRAIRIE, MN 55347-1441
(952) 949-8600
(952) 294-0262
Mailing address
15694 VILLAGE WOODS DR, EDEN PRAIRIE, MN 55347-1441
(952) 949-8600
(952) 294-0262
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
20428435
MN
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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