| NPI | 1518295625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY WILLIAM BUSCH Owner 605-360-4371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |