| NPI | 1043597784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GOODEN Owner 316-636-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2019-11-08 |