| NPI | 1477556645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BULTMAN General Manager 816-621-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 18288774) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2015-03-03 |