| NPI | 1952693020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK RILEY President 515-955-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |