| NPI | 1427872639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA POWELL Physician/Owner 907-562-2277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |