| NPI | 1154588507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GLENN MELTON Owner, President 316-522-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |