| NPI | 1578994299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY K FANCHER CFO/COO 970-482-0198 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 15130380000) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2019-11-05 |