| NPI | 1467994913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SUE RHEA BOHNENKAMP Owner 712-546-5183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |