| NPI | 1164417705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD EUGENE PILK Manager 515-727-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |