| NPI | 1053255406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKLAUS KARL RENDLER Manager 719-766-9017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-04-16 |
| Last Update Date | 2026-04-16 |