| NPI | 1053715466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI EMBREY Office Manager 316-806-8919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |