| NPI | 1306912910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOMA ADELAIDE FONGUH Owner 303-755-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 75521768) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |