| NPI | 1194239343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNSHINE OWENS Owner 970-879-7572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CO 9016) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |