| NPI | 1659652600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY FOXHOVEN Owner/VP 402-727-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NE 001-011062916) |
| Enumeration Date | 2011-09-05 |
| Last Update Date | 2022-01-24 |