| NPI | 1043411705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN ELISE ALLMON Owner 712-256-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-03-15 |