NPI | 1508992686 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL RAY EHRLICH Owner 417-425-8531 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-08-22 |