| NPI | 1639318488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE L BOHLENDER President 970-613-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 42-32987-0000) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-04-17 |