| NPI | 1932323821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN MCCULLOUGH President 660-425-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |