| NPI | 1376766717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN COOK Partner 308-254-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-02-18 |