| NPI | 1679734958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN SCHULTZ Owner/Partner 308-633-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2009-10-29 |