| NPI | 1720082050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO L LOPEZ Hme Manager 913-831-2979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: KS 01980-000000-00579) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-08-22 |