| NPI | 1336457548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA RAE HAYNES Senior Director 316-858-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2017-10-27 |