| NPI | 1083744551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE STOOPS Accounts Receivable 907-563-3631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AK 27465) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |