| NPI | 1013164706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETA WILLIAMS Owner 316-682-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-10-01 |