| NPI | 1396974531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD E MCCLELLAN Owner 563-650-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |