| NPI | 1235116849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON HOOVER Owner 816-229-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 6697) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2020-08-22 |