| Organization Name: | HOWARD GRANT RITCHEY JR |
| NPI Number: | 1467850081 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOWARD GRANT RITCHEY (OWNER) |
| Mailing Address: | 504 E 4th St Tonganoxie |
| State: | KS US |
| Postal Code: | 660868920 |
| Phone Number: | 9138453231 |
| Fax Number: | 9138453785 |
| NPI Enumeration Date: | 12/13/2014 |
| NPI Last Update Date: | 12/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |