| NPI | 1043391725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL REBECCA SYCKS President 907-274-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AK 405559) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-12-18 |