| NPI | 1477246494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA JOHNSON President/CEO 913-730-8731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |