| NPI | 1942404140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN ALLEN KINGERY Manager 319-351-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2008-07-22 |