| NPI | 1720758808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLLISE WASHINGTON Owner 816-775-3239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |