| NPI | 1790047967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEAL SCHRODT Assistant 515-222-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IA 06598) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |