NPI | 1326877887 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREY M JIRON Owner 970-201-3721 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
Enumeration Date | 2024-07-31 |
Last Update Date | 2024-07-31 |