| NPI | 1811076904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAY GLOOR Presedent Board Of Directors 308-389-5623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NE 125) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |