NPI | 1134609357 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY L WILSON Owner 719-846-7387 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CO 7109) |
Enumeration Date | 2018-08-16 |
Last Update Date | 2018-08-16 |