| NPI | 1356314215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE KUENNEN CEO 563-422-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: IA 6397) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2022-08-03 |