| NPI | 1013588581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MAOBUGHICHI THOMAS CEO 720-215-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2022-03-21 |