| NPI | 1013202209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JOLEEN GREENE Owner 785-221-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 1602084) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2014-05-19 |