| NPI | 1003012659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY F. COURIER Consultant 907-456-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 67) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2008-06-25 |