| NPI | 1245386895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY M. PETERS Manger Owner 303-346-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 24-54173-0000) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |