| NPI | 1497870356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE EIDE Director Of Member Services 605-352-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |