| NPI | 1366774457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNY KEELE Owner 660-826-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2015-03-24 |