| NPI | 1659835171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARRIS Admin Asst 605-341-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2023-01-17 |