| NPI | 1669513289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARRIS Admin 605-341-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 0080) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2018-10-10 |