| NPI | 1063893485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM GOODLETT Chief Operating Officer, AO 402-281-4443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2016-06-17 |