| NPI | 1104958800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GRIFFITH Driector 303-378-1604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: CO 41871500000) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |