| NPI | 1184863391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS NEBEL Manager/Owner 641-472-2758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |