| NPI | 1760603187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGOLISA LOUIS NWAUDOBI Director 913-341-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 004F01) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-07-21 |