| NPI | 1790389948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEKESHA STALEY Owner 316-350-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2020-11-29 |
| Last Update Date | 2021-10-14 |