| NPI | 1811203722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID REHOV SKY Manager 308-382-4495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NE 1001) |
| Additional Taxonomies | 251S00000X (Licence: NE 1330) |
| 251S00000X (Licence: NE 9115) | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |