| NPI | 1184902280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CORNELIUS President/Owner 308-784-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2014-03-03 |