| NPI | 1265605885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTNIE DYKSTRA CFO 800-625-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WV0202X Contractor, Vehicle Modifications |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI B004064) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2024-08-06 |