| NPI | 1770064065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN JAMES SCHIPPER Managing Director 605-780-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 1317) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |