| NPI | 1356799316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA D DIELEMAN Member Representative 605-322-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD UNPD3R) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |