| NPI | 1528902624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PRATT Owner 907-952-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-04-17 |