NPI | 1245444710 |
---|---|
Entity Type | Organization |
Authorized Contact | LANCE ANDREW FOCHT Manager 913-647-6633 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-08-22 |