| NPI | 1861683948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS BAILEY Owner 712-762-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IA 021AA6117) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |