| 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 |