| NPI | 1205409737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAINYA DAWSON Credentialing Manager 719-234-0549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2022-07-27 |