| NPI | 1245577410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JAY ELKINS Owner 307-789-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2015-01-28 |