| NPI | 1295129997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DEAN IRIYE President 720-282-2377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2024-04-15 |