NPI | 1104608793 |
---|---|
Doing Business As | LIFEWAY MOBILITY OF WICHITA |
Entity Type | Organization |
Authorized Contact | BRIAN BURFIELD General Council 814-594-0185 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2023-10-18 |
Last Update Date | 2023-10-18 |