| NPI | 1396288221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS TAYLOR President 719-644-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-11-26 |
| Last Update Date | 2016-11-26 |