| NPI | 1225460603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PEDERSON General Manager 605-381-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2014-04-03 |