| NPI | 1215211172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA C GRIGGS Owner/President 307-734-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO OT3247) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2015-06-09 |