| NPI | 1295208106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE CHRISTINA DIVALERIO CEO/Owner 719-375-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |