| NPI | 1972660744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE NOWAK Administrator 319-861-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 0444513) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |