| NPI | 1821220955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN SCHULTZ Owner 308-633-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY WD-1197 WY) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2010-04-28 |