| NPI | 1962571414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY D LESTER Adm Asst 605-642-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |