NPI | 1528124922 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY LEO HUEGERICH Vice President 712-792-0322 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: IA 0287557) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2020-08-22 |