| NPI | 1760062772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANNETTE THOMPSON Billing Manager 515-246-2040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |