| NPI | 1780072116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG JAMES COAKLEY Member/Manager 515-421-4933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2024-04-02 |