| NPI | 1255776415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BLAINE PITTS Owner 620-402-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KS C.P.O. 2980) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-01-15 |