| NPI | 1386955839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GIBBONS Secretary/Owner 402-464-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE not obtained yet) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |