| NPI | 1790819928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH BOTTOLFSON Business Manager 605-624-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2010-02-18 |