| NPI | 1255431425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA LYNNE KRAUS President 970-323-5942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0085075) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 0085075) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-05-04 |