| NPI | 1609190784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CORNELIUS President 308-784-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2014-04-24 |