| NPI | 1265533145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL DAVID RAY Owner 316-634-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0053129) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 11) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2022-07-21 |