| NPI | 1609952191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CARL GARDNER Pres 712-325-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-06-18 |