| NPI | 1063604395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART M ELLIOTT Controller 913-754-0831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 3776986) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |