| NPI | 1417640574 |
|---|---|
| Doing Business As | ASPEN LAKE DME |
| Former Legal Business Name | BROOK FOREST DME |
| Entity Type | Organization |
| Authorized Contact | PAUL MESSER Manager 808-356-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2024-12-17 |