| NPI | 1801183108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OLSON Owner 620-421-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-12-01 |