| NPI | 1790287936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB WILLIAM CLINE Co Manager 402-499-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2018-04-17 |