| NPI | 1043351844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY WILDRICK Director Of Accountin 515-727-1468 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-10 |