| NPI | 1982763207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT WOLRAB Owner 319-226-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 1-07-036351) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-10-04 |