| NPI | 1598807471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEIN Member 319-337-2492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 17382) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |