| NPI | 1063533925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY LONGBOTTOM Office Administrator 307-742-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 05003493) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |