| NPI | 1295448744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAUREEN FREDRICKS Business Office Supervisor 402-361-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |