NPI | 1568688893 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRIE LOU PETERSON President 913-492-5293 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 10192063) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2008-07-31 |