| NPI | 1518323773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MENDOZA BANNING Member 316-516-2605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |