| NPI | 1538152582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL J HAMILTON Administrator 402-245-5968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 0634220001) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-08-22 |