| NPI | 1114259066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MASON ONEY Owner 907-562-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 980333) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 938016) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2017-05-12 |