| NPI | 1043380801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP C. BLUMBERG Administrator 515-271-1574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2022-08-12 |