| NPI | 1487279675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVIS Owner/President 605-275-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-07-03 |