| NPI | 1679885396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI M HANSEN President 402-630-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |