| NPI | 1255064291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE EBOMOYI Manager 970-397-8140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-20 |