| NPI | 1194215590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI E O'SHEA Authorized Person 719-637-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |