| NPI | 1043291016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON D REIN General Manager 620-653-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KS 501845) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-08-22 |