| NPI | 1255843462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BOONE HODGES Owner 307-887-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |