| NPI | 1538473145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIE ROSE EARLYWINE Treasurer 402-421-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |