| NPI | 1417988064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE TURBAK Cno 605-882-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 100-1855) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-09-29 |