| NPI | 1053615823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JOSEPH CARSON Vice President 913-645-9217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |