| NPI | 1942266804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CORNELIUS President 308-784-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NE 247860889) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2014-03-19 |