| NPI | 1194758516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY WOODSON Manager 816-461-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-06-23 |