Provider Demographics
NPI:1598362717
Name:DAKOTA ELEVATOR AND LIFT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:DAKOTA ELEVATOR AND LIFT SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:KUNTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-348-3236
Mailing Address - Street 1:PO BOX 3192
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55803-3192
Mailing Address - Country:US
Mailing Address - Phone:218-348-3236
Mailing Address - Fax:
Practice Address - Street 1:4000 GARDENVIEW DR STE 102
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-7399
Practice Address - Country:US
Practice Address - Phone:218-348-3236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment