| NPI | 1285629105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J VANDEL Owner 307-532-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 5200922) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2023-03-07 |