| NPI | 1760559017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA KAY MASTROFSKI Vice President 515-270-0725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 081763) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |