| NPI | 1235343666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTESSA MARIE SMALL Billing Clerck 316-518-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |