| NPI | 1043652837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT JOHN COAKLEY Member/Manager 402-467-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2021-06-15 |