| NPI | 1093893034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CORNELIUS President/Owner 308-784-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 247860889) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-03-03 |