| NPI | 1740376441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA D MAHER Manager 605-865-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-03-05 |