| NPI | 1053461863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E JOHANSEN President 605-886-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2022-07-21 |