| NPI | 1639143977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA ANN TAYLOR Authorized Agent 319-526-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-11-24 |