| NPI | 1588514632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHIQUE ALI Director 308-594-1636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2026-01-29 |
| Last Update Date | 2026-03-26 |