| NPI | 1083833230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEE-LAI CHIU Administrator 605-338-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: SD 1001527) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 1001527) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SD 1001527) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2010-10-15 |