| NPI | 1699640730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD MALVO CEO 316-210-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |