| NPI | 1417136193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D TJARKS President 605-996-2382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 0924400001) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2008-09-15 |