| NPI | 1477725869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN MANNINO President, Cped 402-392-2952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NE 7077181) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2009-01-15 |