| NPI | 1134293996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE DEMARIS Bkpr 641-424-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2009-02-11 |