| NPI | 1114559564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM LEWIS President/Owner 719-251-8369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-05-07 |