| NPI | 1124188974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE E WIESE Accounting Manager 515-255-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-10-15 |