| NPI | 1174501860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA GALLEGOS Owner 303-467-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 23286870000) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2021-10-28 |