| NPI | 1659419950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO BANZON DEGALA Owner 319-524-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-05-09 |