| NPI | 1285835553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZ LAMB C Ph T 307-672-3741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 5282801) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |