| NPI | 1205970480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN PREDMORE Owner 719-473-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 40359320000) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |