| NPI | 1992355291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE V HAYES Owner 402-215-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |