| NPI | 1104750835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIK ABDUL WADOOD Owner 719-603-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-06-09 |