| NPI | 1255741765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS A EDMISTON President 719-638-4056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2024-10-03 |