| NPI | 1649776436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BRET BULLINGER CEO/President 307-272-2423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |