| NPI | 1518099316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAHAM SMITH Owner 907-364-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK MS 2458) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-10-02 |