NPI | 1568461879 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREL B STEVENS President 913-780-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2005-07-19 |
Last Update Date | 2012-04-12 |