| NPI | 1073862702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN BERLIN BARRY Owner 970-302-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |