| NPI | 1265739874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DAVID KEHOE Owner 303-417-9752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 20041107839) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |