| NPI | 1649778697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS W COOKE President 907-223-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |