| NPI | 1184216889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J REILLY Manager 605-217-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |