| NPI | 1598852972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2021-05-07 |