| NPI | 1295183523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM GOODLETT President & COO 402-281-4443 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |