| NPI | 1750078200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TRAMMEL CFO 641-428-7984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |