| NPI | 1104790971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC LEE LEDFORD Vice President Of Operations 970-573-5093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |