| Organization Name: | SANFORD HEALTHCARE ACCESSORIES, LLC |
| NPI Number: | 1689857203 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSSELL NYLANDER (DIRECTOR) |
| Mailing Address: | 621 Demers Ave East Grand Forks |
| State: | MN US |
| Postal Code: | 567211833 |
| Phone Number: | 2187735890 |
| Fax Number: | 2187735997 |
| NPI Enumeration Date: | 12/06/2007 |
| NPI Last Update Date: | 03/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ND |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |