| 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 |