| NPI | 1144323627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM BROWN Owner 307-742-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 5003641) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-07-10 |