| NPI | 1083785646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIS WYNELL WAYNE Owner President 316-529-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS C17484) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |