| NPI | 1669821898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES (PERRY) BOLEN Administrator 720-322-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CO 86072285) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |