| NPI | 1992573042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKYLA ANN WENDROTH Owner 641-691-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251F00000X Home Infusion |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |