| NPI | 1790793933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA D DIELEMAN Member Representative 605-322-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 8491260) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-11-13 |