| NPI | 1871787234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK A MAUSOLF Owner 402-486-4269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 14776) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-10-31 |