| NPI | 1275293417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTA BACHAYEVA Owner /Employee 720-290-8608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |