| NPI | 1609289156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA A WORLEY Owner 316-440-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2021-03-25 |