| NPI | 1124372693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE AHLMAN Owner 402-463-9738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |