| NPI | 1033398144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP A MAYNARD Owner 402-462-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 159) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2013-01-02 |