| NPI | 1649339409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA E HALL Secretary 907-561-6138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AK 901449) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-22 |