| NPI | 1386792802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL BOUSEMA President 712-324-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 71006602) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-11-19 |