| NPI | 1457159642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE PANNETON Member 402-934-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-04 |