| NPI | 1144534702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA D DIELEMAN President/CEO 605-322-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IA 1-21-008187) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 1-21-008187) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IA 1-21-008187) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2016-10-31 |