| NPI | 1417149741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J MICKELSON Office Manager 402-758-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-11-14 |