| NPI | 1730411190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT AUSTIN MCDONOUGH Proprietor 319-830-5688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |