| NPI | 1114035474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L BICKLEY President 970-244-8983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2015-10-28 |