| NPI | 1518779974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIIA HOHOL Owner 720-260-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-10-12 |