| NPI | 1003909292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY LEE SHARP President 816-524-3256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 16901266) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |