| NPI | 1780609487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M KELLENBERGER Owner 563-386-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: IL 203.000827) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-08-13 |