| NPI | 1881640670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI L HEASTY President/Owner 785-749-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 5-01981) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: KS 5-01981) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KS 5-01981) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: KS 5-01981) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-05-26 |