| NPI | 1457538100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M SHANNON President 402-898-2675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NV 255258) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV 255258) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2021-12-17 |