| NPI | 1275662272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB SIKES Director Of Operations 308-865-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |