NPI | 1376124461 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW THOMAS GIANFORTE Director 913-620-2377 |
Organization Subpart ? | No |
Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
Additional Taxonomies | 207Q00000X Family Medicine |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2021-04-20 |
Last Update Date | 2021-04-20 |