| NPI | 1457941536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIAMYIAH GILMORE Owner 816-888-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |