| NPI | 1285184754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBETH BUITRAGO CEO/Director 307-213-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2018-05-16 |