| NPI | 1679911184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL SCOTT FESMIRE Compliance Officer 303-501-8534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2018-06-28 |