| NPI | 1154168698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MORGAN Supervisor 319-291-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-08-19 |