| NPI | 1932353307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY S CORNELIUS President/Owner 308-784-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2020-10-12 |