| NPI | 1164429650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE L KANEN Owner/President 719-589-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CO 07150460001) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2011-12-02 |