| NPI | 1477682540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA J SPARENBORG Finance Director 319-398-1563 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: IA NABP# 1623758) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2011-06-09 |