| NPI | 1346424306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN M SIMMONS Owner 970-613-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2008-03-31 |