| NPI | 1619318763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY PHYLLIS /COLMAN V Pres 307-234-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WY 106284100) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |