| NPI | 1215655162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MILLER LANE Owner 913-745-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-09-27 |