| NPI | 1457815060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN A PEARSON President 620-724-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2022-06-06 |