| NPI | 1578757142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE ALLEN GLAMMEIER President 605-446-3930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 51001eft001) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2022-07-21 |