| NPI | 1609369677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE A SCHAFFFNER Sole Member 307-315-6035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |