| NPI | 1114984929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L DEWALL President 402-552-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |