| NPI | 1801937065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD TUNISON Director Of Operations 816-525-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MO 2005002804) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-03-24 |