| NPI | 1255330460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS D GORDY President 712-262-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 0216470001) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2011-06-29 |