| NPI | 1871511527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA SLOVACEK Contract Specialist 620-227-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-06-21 |