| NPI | 1972630473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI REXWINKLE CEO 620-252-1519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: KS H063002) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2018-01-15 |