| NPI | 1316353766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA POWELL Physician/Owner 907-562-2277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 79607D) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-11-15 |