| NPI | 1649789629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BLANK-PHILLIPS Billing Manager 308-520-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |