OrganizationActive
Bluewater Goods and Services, LLC
NPI 1528439593 · Customized Equipment (DME) · Detroit Lakes, MN
Provider details
- NPI number
- 1528439593
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Kathryn Kallis, Office Manager(218) 849-0631
Specialties & taxonomies
Suppliers
Practice location
15014 Elm Dr
Detroit Lakes, MN 56501-7411
Phone: (218) 849-0631
Approximate (ZIP-level) locationGet directions
Mailing address
15014 Elm Dr
Detroit Lakes, MN 56501-7411
Registry dates
- Enumerated
- 2015-10-15
- Last updated
- 2015-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.