| NPI | 1083439087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE MORGAN Manager 307-395-8636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |