| NPI | 1164045126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARILYN BOLANDER Credentialing Specialist 913-232-9846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |